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Report #2844850

Received Jun 12, 2025

Office visit
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
16 yrs
State
WA
Recovered
Recovered
Vaccinated
Jun 11, 2025
Onset
Jun 11, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
MMRVMEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.UNKY008786IM / RA

Symptoms (3)

No adverse eventPregnancy test negativeProduct administered to patient of inappropriate age

Symptom narrative

Staff member administered vaccine above to patient. vaccine was not ordered. vaccine was ordered by provider as meningococcal, but MMRV was given. notified patient's mother of vaccine that was given incorrectly. mother was given VIS and possible side effects to be aware of, patient and mother verbalized understanding. patient and mother agreed to come into clinic today 6/12/25 for pregnancy test and to give correct vaccine as instructed by Dr. patient came in with grandmother at 3:00PM. pregnant test was given, Dr. confirmed test was negative. patient was given correct vaccine and VIS information sheet was given as well to patient and grandmother. patient advised to wait in lobby for at least 15 minutes and report any adverse effects or reactions. patient waited and tolerated vaccine without any adverse effects or reactions.

Current illness

N/A

Medical history

attetion deficit hyperactivity disorder (ADHD)

Other medications

methylphenidate ER (METADATE ER) 20 mg, acetaminophen (TYLENOL) 100 MG, ibuprofen (ADVIL, MOTRIN) 20 MG, multiple vitamin- mineral (MULTIPLE VITAMINS/ WOMEN) OR

Allergies

egg-derived products , soy allergy (obsolete)

Lab data

pregnancy test 6/12/25