Report #2854063

Received Aug 14, 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: Female
Age: 17 yrs
State: VT
Recovered: Unknown
Vaccinated: Jul 24, 2025
Onset: —
Days to onset: —
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	UNK	Y012074	SC / LA

Symptoms (2)

No adverse eventProduct administered to patient of inappropriate age

Symptom narrative

MMRV vaccine was given 7/24/25 and the patient was over 13+. Patient had no vaccine reaction. Immunization designee with department of health was also made aware and advise we use this form to provide data to CDC and vaccine manufactures.

Current illness

None

Medical history

None

Other medications

Birth control

Allergies

None

Lab data

N/A