Report #2843571

Received Jun 2, 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: 13 yrs
State: WI
Recovered: Unknown
Vaccinated: May 30, 2025
Onset: May 30, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
HEP	HEP B (ENGERIX-B)	GLAXOSMITHKLINE BIOLOGICALS	2	95BJ9	IM / LA
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	2	Y012077	SC / LA

Symptoms (1)

No adverse event

Symptom narrative

ProQuad vaccine was administered to patient on 05/30/2025. Patient is 13 years old, and ProQuad is not routinely recommended for this age group. No adverse reaction observed at the time. Patient will be monitored as appropriate. Provider has been informed.

Other medications

cholecalciferol, vitamin D3, (VITAMIN D3) 1,250 mcg (50,000 unit) capsule- Sig: Take 1 Capsule by mouth once a week for 8 doses. sertraline (ZOLOFT) 25 mg tablet - Sig: Take 0.5 tablet once daily for two weeks, then increase to 1 tablet onc

Allergies

NKDA

Lab data

None