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Report #2849507

Received Jul 12, 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 yrs
State
NY
Recovered
Recovered
Vaccinated
Jun 30, 2025
Onset
Jul 3, 2025
Days to onset
3
Hospital days
—

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
DTPPVHBHPBDTAP+IPV+HIB+HEPB (VAXELIS)MSP VACCINE COMPANY5U7788AAIM / RL
PNC20PNEUMO (PREVNAR20)PFIZER\WYETH4MF0416IM / LL
VARCELVARICELLA (VARIVAX)MERCK & CO. INC.1x026326SC / RL

Symptoms (1)

Inappropriate schedule of product administration

Symptom narrative

Vaxelis administered in error by staff, last dose administered 4/03/2025 - administered too soon - patient was supposed to only have Varicella/Prevnar at visit and return at later date for additional vaccination. Error made at administration providing incorrect immunization resulting in additional dose to patient. Without further c/o vaccine reaction from patient/mom.

Current illness

5/22/2025 - Bilateral Otitis media - Amoxicillin 400mg/5ml - 2.6ml by mouth twice daily x 7 days

Medical history

none

Other medications

N/A

Allergies

NKDA

Lab data

n/a