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Report #2840988

Received May 14, 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
4 yrs
State
HI
Recovered
Unknown
Vaccinated
Mar 3, 2025
Onset
Mar 3, 2025
Days to onset
0
Hospital days
—

Vaccines (5)

TypeNameManufacturerDoseLotRoute / Site
DTAPDTAP (NO BRAND NAME)UNKNOWN MANUFACTURERUNKBCA20ClOT
FLU3INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUNKUS4424AOT
IPVPOLIO VIRUS, INACT. (NO BRAND NAME)UNKNOWN MANUFACTURERUNKBCA20ClOT
MMRMEASLES + MUMPS + RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURER2Y000225OT / LL
VARCELVARICELLA (VARIVAX)MERCK & CO. INC.2Y011019OT / LL

Symptoms (2)

No adverse eventProduct storage error

Symptom narrative

No adverse event; Improper storage of product in use; This spontaneous report was received from a pediatric referring to a 4-year-old female patient. The patient's medical history, historical drugs, concurrent conditions, and concomitant drugs were not reported. On 03-MAR-2025, the patient was vaccinated with the second dose of Measles, Mumps, and Rubella (Wistar RA 27-3) Virus Vaccine, Live (M-M-R II) (lot#: Y000225, expiration date: 03-JAN-2026; dose and strength were not provided) subcutaneously in the left thigh; the second dose of varicella virus vaccine live (Oka/Merck) (VARIVAX) (lot#:Y011019, expiration date: 18-JUN-2026; dose and strength were not provided) subcutaneously in the left thigh. The vaccines were reconstituted with sterile diluent (MERCK STERILE DILUENT) (dose, strength, and expiration date were not reported) for prophylaxis. On the same day, the patient was vaccinated with the fifth dose of Diphtheria vaccine toxoid ()+ Pertussis vaccine acellular (+) Tetanus vaccine toxoid (DTAP) (lot#: BCA20Cl, expiration date: 28-FEB-2026) intramuscularly in the right thigh; the forth dose of Polio vaccine inact (IPV) (lot#: BCA20Cl, expiration date: 17-NOV-2026) intramuscularly in the right thigh; and the forth dose of fluconazole (FLUZONE) (lot#: US4424A, expiration date: 30-JUN-2025) intramuscularly in the right thigh. A temperature excursion as a result of digital data logger at -9.8 C for 2 hours a minutes occurred to the vaccines mentioned above (product storage issue). No addition adverse events occurred (no adverse event).

Other medications

Sterile diluent