Report #2835862

Received Apr 11, 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: 9 yrs
State: IL
Recovered: Unknown
Vaccinated: Apr 11, 2025
Onset: Apr 11, 2025
Days to onset: 0
Hospital days: —

Vaccines (5)

Type	Name	Manufacturer	Dose	Lot	Route / Site
HEP	HEP B (ENGERIX-B)	GLAXOSMITHKLINE BIOLOGICALS	2	32M5G	IM / RA
IPV	POLIO VIRUS, INACT. (IPOL)	SANOFI PASTEUR	2	X1C891M	IM / RA
MMR	MEASLES + MUMPS + RUBELLA (MMR II)	MERCK & CO. INC.	N/A	x027447	SC / LA
MMR	MEASLES + MUMPS + RUBELLA (MMR II)	MERCK & CO. INC.	2	x027447	SC / RA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	2	LX494	IM / LA

Symptoms (2)

Circumstance or information capable of leading to medication errorNo adverse event

Symptom narrative

Patient pulled arm away during subcutaneous administration of MMR vaccine to left arm. Less than half of the dose appeared to have been administered. Parent was informed and consented to re-administration of the vaccine. A repeat dose of the same MMR lot number was administered subcutaneously to the right arm. No adverse symptoms were observed.

Allergies

none