Report #2853620

Received Aug 11, 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: Female
Age: 4 yrs
State: NY
Recovered: Recovered
Vaccinated: Mar 14, 2018
Onset: Mar 14, 2018
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPIPV	DTAP + IPV (QUADRACEL)	SANOFI PASTEUR	UNK	C5248AA	IM / LA

Symptoms (6)

Blood pressure decreasedCold sweatHyperventilationInjection site swellingInjection site urticariaOxygen saturation decreased

Symptom narrative

Prior to vaccination Pt BP + PWNL. About 5-7 min after injection, hives and swelling observed near injection site. Skin appeared/felt clammy. Pt began to hyperventilate. BP increased, O decreased. Ambulated and provided oxygen

Current illness

None

Medical history

None

Other medications

None

Allergies

None