Received May 22, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HIBV | HIB (PEDVAXHIB) | MERCK & CO. INC. | 3 | Y007178 | OT |
| MMRV | MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) | MERCK & CO. INC. | 1 | Y014440 | OT |
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 3 | — | OT |
| UNK | VACCINE NOT SPECIFIED (NO BRAND NAME) | UNKNOWN MANUFACTURER | 1 | — | OT |
No AE; vaccine storage issue; This spontaneous report was received from a nurse practitioner and refers to a 12-month-old female patient. The patient's medical history was not reported. The patient's concurrent conditions were not reported. Concomitant therapies were not reported. On 31-Mar-2025, the patient was vaccinated with the third dose of Haemophilus b Conjugate Vaccine (Meningococcal Protein Conjugate) (LIQUID PEDVAX HIB), (lot #Y007178, expiration date: 07-Nov-2026), the first dose of Measles, Mumps, Rubella and Varicella (Oka-Merck) Virus Vaccine Live (PROQUAD), (lot #Y014440, expiration date: 22-Feb-2026) reconstituted with sterile diluent (MERCK STERILE DILUENT), (lot # and expiration date were not reported), the first dose of Hepatitis A vaccine) (lot# DN273, expiration date: 28-Aug-2026) and the third dose of Pneumococcal vaccine conj 20v (CRM197) (lot# LK6653, expiration date: 30-Jun-2026) all administered by intramuscular route for prophylaxis. On 09-Apr-2025, at compliance visit, upon review by state, temperature excursion was noted from 03-Mar-2025 to 10-Mar-2025 (product storage error). Upon further investigation and review by the DDL manufacturer, it was noted as a "glitch" "most likely caused by an electronical interference". The VFC program advised revaccination and that process was currently in progress with the patients involved. No adverse event was reported. This is one of several cases from the same reporter.; Sender's Comments: Priority : 5 , Is case serious : No , Index user :, Index date : 2025-05-14 , MNSC number : 02785949 , CLIC number : , ESTAR number : , IRMS number : , Central date : 2025-05-13 , Classification : DMC, Attachment description : Post Marketing Basic , Safety case number :
Sterile diluent