Report #2829107

Received Mar 3, 2025

Office visit

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Overview

Sex: Male
Age: 1 yrs
State: NJ
Recovered: Unknown
Vaccinated: Mar 3, 2025
Onset: Mar 3, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
HEPA	HEP A (HAVRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	—	IM
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	UNK	—	IM
VARCEL	VARICELLA (VARIVAX)	MERCK & CO. INC.	UNK	—	SC

Symptoms (2)

Extra dose administeredWrong product administered

Symptom narrative

Proquad was given instead of MMR so patient received an extra dose of varicella.

Current illness

None

Medical history

None

Other medications

None

Allergies

None

Lab data

None