Report #2830894

Received Mar 12, 2025

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 yrs
State: TX
Recovered: Unknown
Vaccinated: Mar 12, 2025
Onset: Mar 12, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPIPV	DTAP + IPV (QUADRACEL)	SANOFI PASTEUR	4	U7838AA	IM / LL

Symptoms (2)

No adverse eventWrong product administered

Symptom narrative

Quadracel accidently given at 1 year check up. Vaccines ordered were MMR, Varicella and Hepatitis A. MMR and Varicella given correctly, no Hepatitis A administered, will return to clinic for first dose of Hepatitis A at 15 month check up. Confirmed with provider of any side effects, if any, no side effects that should be present. Made Mother aware of incident explained no side effects should be present from vaccine. Reviewed report with Lead MA, Practice Manager, and Provider.

Current illness

none

Medical history

none

Other medications

none

Allergies

N.K.D.A.

Lab data

none