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Report #2831709

Received Mar 17, 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
9 yrs
State
ND
Recovered
Unknown
Vaccinated
Dec 5, 2024
Onset
Dec 5, 2024
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
UNKVACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURERUNKY008284OT / LA

Symptoms (1)

Product storage error

Symptom narrative

Improper storage of product in use; No adverse event; This spontaneous report was received from a nurse referring to a 9-year-old male patient. Information regarding the patient's concurrent conditions, medical history was not provided. Concomitant medications included hepatitis a vaccine inact (HAVRIX), influenza vaccine inact sag 4v (FLUCELVAX) hepatitis b vaccine rHBsAg (yeast) (ENGERIX B). . On 05-Dec-2024, the patient was vaccinated with an improperly storage of measles, mumps, rubella and varicella (Oka-Merck) virus vaccine live (PROQUAD) injection, administered subcutaneously in the left arm (valid lot number Y008284 with an expiration date on 21-OCT-2025) for prophylaxis. There was no adverse effect reported.; Sender's Comments: Priority : 5 , Is case serious : No , Index user : , Index date : 2025-02-26 , MNSC number : , CLIC number : , ESTAR number : , IRMS number : 07/25/2015 , Central date : 2025-02-20 , Classification : DMC, Attachment description : Post Marketing Basic , Safety case number :

Other medications

Heo A (Havrix); Influenza Seasonal (Flucelvax Quadrivalent); Heo B (Engerix-B); Sterile diluent