Report #2850099

Received Jul 17, 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: 5 yrs
State: DE
Recovered: Not recovered
Vaccinated: Jul 16, 2025
Onset: Jul 16, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPIPV	DTAP + IPV (QUADRACEL)	SANOFI PASTEUR	5	U8383AB	IM / LA
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	2	Y018156	SC / LA

Symptoms (5)

DyskinesiaInjection site swellingLethargyPyrexiaTremor

Symptom narrative

Fever 103+ with jerking/ shaking. Left arm with minor injection site swelling at this time. Child is lethargic. Pt with reaction to previous vaccines similar per mom.

Current illness

none known

Medical history

none known

Allergies

none known

Lab data

none

Prior vaccinations

Per mom has had similar vaccine reaction previously