Report #2853821

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: NC
Recovered: Unknown
Vaccinated: Aug 11, 2025
Onset: Aug 11, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	2	LN8272	IM / LA
DTAPIPV	DTAP + IPV (KINRIX)	GLAXOSMITHKLINE BIOLOGICALS	5	4l454	LA
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	2	z006282	LA

Symptoms (1)

Product preparation issue

Symptom narrative

Patient was given all 3 doses in the Pfizer Covid yellow cap vial for 6month to 4 year olds without the dilution added to the vial.

Current illness

None

Medical history

None

Other medications

None

Allergies

None

Lab data

None