Report #2838066

Received Apr 25, 2025

ER / ED visitOffice visit

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Overview

Sex: Male
Age: 1.1 yrs
State: TX
Recovered: Recovered
Vaccinated: Mar 14, 2025
Onset: Mar 14, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
HEPA	HEP A (HAVRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	DN273	IM / RL
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	1	Y014437	SC / LL
VARCEL	VARICELLA (VARIVAX)	MERCK & CO. INC.	1	Y015101	SC / RL

Symptoms (1)

Extra dose administered

Symptom narrative

Patient received Varivax, ProQuad, and Hep A on 3/14/2025. Mother was notified regarding extra Varicella dose via Proquad product approx. an hour after administration. A follow up call 3/17/2025 to patient was made and mother reported patient did well over the week. He was afebrile, and immunization sites with no changes.

Current illness

No active problem lists. Right acute otitis media 3/13/2025, Bilateral acute otitis media 2/24/2025. Bilateral acute otitis media 2/13/2024.

Medical history

None.

Other medications

No medications

Allergies

No Known Allergies

Lab data

None