Report #2853783

Received Aug 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: 4 yrs
State: TX
Recovered: Recovered
Vaccinated: Jul 30, 2025
Onset: Jul 30, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	3046979	IM / LL
DTAPIPV	DTAP + IPV (KINRIX)	GLAXOSMITHKLINE BIOLOGICALS	5	5C79N	IM / LL
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	3	Z007852	SC / RL

Symptoms (2)

Extra dose administeredNo adverse event

Symptom narrative

No adverse symptoms documented. Patient received 3rd dose MMR on 7/30/2025. Previous doses were given 9/27/22, 4/9/2025. A follow call was made by an RN, and patient reported to be well. Parent denied any symptoms.

Current illness

None

Medical history

None

Other medications

None

Allergies

None

Lab data

none