Report #2831970

Received Mar 18, 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: Female
Age: 21 yrs
State: WI
Recovered: Recovered
Vaccinated: Mar 18, 2025
Onset: Mar 18, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	UNK	Y014437	IM / LA

Symptoms (2)

Off label useProduct administered to patient of inappropriate age

Symptom narrative

21 year old female was administered MMRV (ProQuad Merck) off label - patient notified and did not have any questions. Registry is accurate.

Current illness

none

Medical history

none

Other medications

levonorgestrel-ethinyl estradiol (Altavera)

Allergies

Jasmine oil, Tea Tree oil, gold

Lab data

NONE