Report #2836699

Received Apr 17, 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: 15 yrs
State: CO
Recovered: Unknown
Vaccinated: Apr 16, 2025
Onset: Apr 17, 2025
Days to onset: 1
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
MMR	MEASLES + MUMPS + RUBELLA (MMR II)	MERCK & CO. INC.	2	Y000225	SC / RA
VARCEL	VARICELLA (VARIVAX)	MERCK & CO. INC.	2	Y015100	SC / LA

Symptoms (1)

Extra dose administered

Symptom narrative

There were 2 MMR vaccines and 2 Varicella vaccines pulled for the pt and her sister. Patient may have received two MMRII vaccines in the same visit because the MMR vaccine changed from a yellow color to a clear color and was with the varicella vaccine that was a clear color. Medical Assistant is unsure if they gave a Varicella vaccine or an MMR vaccine.

Current illness

PANDAS Disease Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections

Medical history

Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections

Other medications

Generic Name Brand Name Tablet Size Instructions for use cromolyn sodium (spray,non-aerosol) cromolyn 5.2 mg/spray (4 %) Administer 1 spray into each nostril 4 (four) times a day. dexamethasone (tablet) dexAMETHasone 4 mg Take 4 tablets (1

Allergies

NKA

Lab data

Merck was notified and will be testing other two other vaccines that were in the room (either MMR or Varicella) to see if pt received a varicella or an mmr.