Report #2833743

Received Mar 28, 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: 17 yrs
State: IA
Recovered: Unknown
Vaccinated: Mar 27, 2025
Onset: —
Days to onset: —
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
HEP	HEP B (HEPLISAV-B)	DYNAVAX TECHNOLOGIES CORPORATION	1	945664	IM / RA
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	1	X026409	IM / LA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	PG3RP	IM / RA
VARCEL	VARICELLA (VARIVAX)	MERCK & CO. INC.	1	X026319	IM / RA

Symptoms (2)

No adverse eventWrong product administered

Symptom narrative

Patient had vaccination error at our clinic. He had got ProQuad and Varivax instead of MMR and Varivax. Talked with pt.'s dad and pt has not had any adverse reactions at this time. Notified to call clinic if pt develops fever, redness or swelling at injection site or rash. Pt has no adverse reactions at this time. Public Health notified and was instructed to fill out this form in case he gets a reaction.

Current illness

None

Medical history

None

Other medications

None

Allergies

None