Report #2853259

Received Aug 7, 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: 16 yrs
State: HI
Recovered: Recovered
Vaccinated: Aug 7, 2025
Onset: Aug 7, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	1	Z007212	IM / LA
VARCEL	VARICELLA (VARIVAX)	MERCK & CO. INC.	1	Y013350	IM / LA

Symptoms (3)

Extra dose administeredProduct administered to patient of inappropriate ageWrong product administered

Symptom narrative

On 08/07/2025, 16 y/o Male patient came in with his mother for his well child exam. At approximately 3:25pm, I administered patient with MMRV ProQuad and Varicella Varivax on the Left Arm. Patient was only supposed to get MMR and Varicella separately. I did not notice until 15 minutes after I administered both vaccines that it was the wrong vaccines. Immediately it was reported to APRN who saw the patient for his Well Child Exam. She then reported it to patient and his mother.

Current illness

NONE

Medical history

NONE

Other medications

NONE

Allergies

NO KNOWN ALLERGIES

Lab data

None