Report #2830058

Received Mar 6, 2025

Office visit

A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex: Male
Age: 1.3 yrs
State: CA
Recovered: Unknown
Vaccinated: Mar 6, 2025
Onset: Mar 6, 2025
Days to onset: 0
Hospital days: —

Vaccines (5)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAP	DTAP (INFANRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	9KB9G	IM / RL
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	1	UT8468LA	IM / LL
HEPA	HEP A (HAVRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	T5727	IM / RL
MMR	MEASLES + MUMPS + RUBELLA (MMR II)	MERCK & CO. INC.	2	X026330	SC / LL
VARCEL	VARICELLA (VARIVAX)	MERCK & CO. INC.	2	Y013350	SC / RL

Symptoms (1)

Wrong product administered

Symptom narrative

Wrong Vaccines (MMR and Varicella) administered. Treatment was 5mL of Ibuprofen

Current illness

N/A

Medical history

N/A

Other medications

Hydrocortisone 2.5% Topical Cream

Allergies

NKA

Lab data

n/a