Report #2849157

Received Jul 9, 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: 11 yrs
State: CA
Recovered: Recovered
Vaccinated: Aug 5, 2024
Onset: Aug 5, 2024
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
IPV	POLIO VIRUS, INACT. (IPOL)	SANOFI PASTEUR	2	W1B511M	IM / LA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	2	ET475	IM / RA
VARCEL	VARICELLA (VARIVAX)	MERCK & CO. INC.	2	Y002061	SC / RA

Symptoms (1)

Product administered to patient of inappropriate age

Symptom narrative

None reported

Current illness

None

Medical history

Not immune to hepatitis B virus

Other medications

None

Allergies

None

Lab data

Varicella-Zoster Virus Antibody test