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Report #2853812

Received Aug 12, 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
KS
Recovered
Not recovered
Vaccinated
Aug 11, 2025
Onset
Aug 11, 2025
Days to onset
0
Hospital days
—

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
DTAPIPVDTAP + IPV (KINRIX)GLAXOSMITHKLINE BIOLOGICALSUNK5C79NIM / RL
MMRMEASLES + MUMPS + RUBELLA (PRIORIX)GLAXOSMITHKLINE BIOLOGICALS22GL3CSC / LL
VARCELVARICELLA (VARIVAX)MERCK & CO. INC.2Z005455SC / RL

Symptoms (9)

Injection site pruritusInjection site reactionNauseaOropharyngeal painPruritusRashRash erythematousTendernessUrticaria

Symptom narrative

Pt recieved 4yr vaccine series (Kinrix, Varivax, and MMR) on 8/11/2025 at 3:03PM. MMR was given in LVL and KInrix was given in RVL (lower injection site on leg) and Varivax was given on RVL (Upper injection on leg). At approx. 3:05PM, mom noticed that pt was itching injection site area where Varivax was given and noticed a bright red rash developing. Provider was notified immediately and within 3 min, patient was given 7.5ml of oral Benadryl. Provider assessed the patient and there were no concerns regarding throat or breathing. No concerns at the time of anaphylatic reaction. Pictures were taken of Right thigh where vaccine was given. Pt left clinic in stable condition. Mom brought pt in today , as he developed a rash on Collarbone, upper torso, bilateral axillas, behind both knees, left groin and whole back. Mom reports rashes were itchy and tender to touch and noticed rash at 7:30AM on 8/12/25. Mom gave about 5ml of Benadrl at 8AM. Mom also reported a possible low grade feve as pt was warm, but did not take temperature.Pictures of new rash were sent to proivder and appt was made for pt to be seen by APRN. Pt came back into to clinic today 8/12/25 at 1:00PM. Proivider saw patient and advised mom to start giving patient Xyzal to help with hives. Provider came and got the Vaccine coordinator for the clinic and had me sit and talk with mom. During discussing with mom, she stated that patient has been saying his throat has been hurting, but denies trouble swallowing. Mom also reported that he was nauseous this am, but was able to eat crackers. During my conversation with mom, she reports, pt received Varivax at age 12mo w/o any type of reaction. Patient still has rash on body, but has slightly improved due to benadryl. However, now patient has hives forming around mouth, ears, face, and scalp. They appear to be very itchy. After discussing with mom, pt and mom left clinic in stable condidtion to go to story and get the Xyzal instructed them to get.

Current illness

none

Medical history

none

Other medications

Tylenol PRN

Allergies

none

Lab data

none