Report #2843700

Received Jun 3, 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: Male
Age: 1.1 yrs
State: WA
Recovered: Unknown
Vaccinated: Jun 2, 2025
Onset: Jun 2, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTPPVHBHPB	DTAP+IPV+HIB+HEPB (VAXELIS)	MSP VACCINE COMPANY	3	U8267AA	IM / LL
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	1	Y015991	SC
VARCEL	VARICELLA (VARIVAX)	MERCK & CO. INC.	1	Y017915	SC / RL

Symptoms (2)

Extra dose administeredNo adverse event

Symptom narrative

Patient was seen by Dr. on 6/2/2025 for his 1 year WCC. He was scheduled to receive MMR, Varicella and Vaxelis vaccines. He was inadvertently given MMRV, Varicella and Vaxelis vaccines by staff who was working with Dr. this day. Staff noted the error and immediately informed the clinical supervisor. Clinical services, Program Manager and Dr. were also notified. Telephone call to family to explain incident done as recommended by provider. No adverse effects noted at this time. Family will reach out with any questions, concerns or needs.

Current illness

none noted

Medical history

none noted

Other medications

Pediatric Multivitamin-Fl-Iron

Allergies

no known allergies

Lab data

None needed per instructions from CDC