Report #2833641

Received Mar 28, 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: Female
Age: 1.3 yrs
State: IA
Recovered: Recovered
Vaccinated: Feb 28, 2025
Onset: Feb 1, 2025
Days to onset: —
Hospital days: —

Vaccines (7)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3044143	IM / RL
DTAPIPVHIB	DTAP + IPV + HIB (PENTACEL)	SANOFI PASTEUR	UNK	UK107AA	IM / LL
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	1	UT8434MA	IM / RL
HEPA	HEP A (HAVRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	X2233	IM / LL
MMR	MEASLES + MUMPS + RUBELLA (MMR II)	MERCK & CO. INC.	1	X027447	SC / RL
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	4	HNS980	IM / RL
VARCEL	VARICELLA (VARIVAX)	MERCK & CO. INC.	1	Y014868	SC / LL

Symptoms (2)

Circumstance or information capable of leading to medication errorNo adverse event

Symptom narrative

Pentacel was given on 2/28 intramuscularly in left thigh, possibly without the hib component. Spoke with mom on the phone and she does not report any s/s. Was discovered in vaccine count. Mom is coming to administer single hib vaccination to patient to make up for the potentially missed vaccination on 3/31/2025.

Other medications