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Report #2833222

Received Mar 26, 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
Unknown
Age
1 yrs
State
KS
Recovered
Unknown
Vaccinated
Jan 13, 2025
Onset
Jan 13, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
MMRMEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.UNKX011441—
MMRMEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.UNK——

Symptoms (2)

No adverse eventProduct storage error

Symptom narrative

No additional AE reported; Nurse reported MMR II was administered after a temperature excursion to unknown amount of patients. HCP is unable to provide patient information or dates of administration at this time.; This spontaneous report was received from a nurse and refers to a 1-year-old patient of unknown gender. The patient's medical history, concurrent conditions, concomitant therapies, and previous drug reactions or allergies were not reported. On 13-JAN-2025, the patient was vaccinated with an improperly stored dose of measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II) administered as prophylaxis (Lot No. X011441 has been verified to be a valid lot number for [measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live], expiration date reported and upon internal validation established as 19-APR-2025 (strength, dose number, exact dose quantity volume, route and anatomical location of administration and vaccination scheme frequency were not provided) (product storage error); that was reconstituted with sterile diluent (BAXTER STERILE DILUENT) (Lot N., expiration date, route and anatomical location of administration were not provided), after a temperature excursion of 10.9 degree Celsius (C) during a time frame of 1 hour with 37 minutes. No previous temperature excursion was reported. No additional adverse event (AE) was reported. (no adverse event).; Sender's Comments: Priority : 5 , Is case serious : No , Index user : , Index date : 2025-03-24 , MNSC number : , CLIC number : , ESTAR number : , IRMS number : X011441 GF , Central date : 2025-03-21 , Classification : DMC, Attachment description : Minimal Data Entry , Safety case number :