Report #2853211

Received Aug 7, 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: Male
Age: 4 yrs
State: TX
Recovered: Unknown
Vaccinated: Aug 7, 2025
Onset: Aug 7, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPIPV	DTAP + IPV (KINRIX)	GLAXOSMITHKLINE BIOLOGICALS	5	58D72	IM / LL
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	2	Z007581	SC / RL

Symptoms (5)

CryingEye swellingNauseaPruritusUrticaria

Symptom narrative

AFTER PT LEFT HE WAS IN THE CAR IN BACKSEAT MOM DRIVING AND HE STARTED TO CRY, SHE LOOKED BACK AND HIS EYE WAS SWOLLEN, SHE CAME BACK TO THE CLINIC. BY THS TIME BOTH EYES WERE EDEMATOUS , AND PT WAS STARTING TO HAVE HIVES AND ITCHING ALL OVER, NAUSEA . EMS WAS CALLED. 12.5 MG BENADRYL AND 5 MG PREDNISOLONE WAS GIVEN. EMS GAVE EPINEPHRINE AND ALBUTEROL AND TRANSFERRED HIM TO HOSPITAL WITH PATENT AIRWAY.

Current illness

Medical history

AHX OF ASTHMA

Other medications

UNK

Allergies

NKDA, NKA

Lab data

NONE- EMS WAS CONTACTED