Report #2854742

Received Aug 19, 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: —
Recovered: Unknown
Vaccinated: Aug 14, 2025
Onset: Aug 14, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPIPV	DTAP + IPV (QUADRACEL)	SANOFI PASTEUR	UNK	Glaxo Smith Kli	—
UNK	VACCINE NOT SPECIFIED (OTHER)	UNKNOWN MANUFACTURER	UNK	Y014440	—

Symptoms (3)

Injection site massInjection site warmthPain in extremity

Symptom narrative

Patient's mother contacted clinic that patient's arm was sore, a large lump was noted, and warm to the touch. Vaccine route and site were inaccurately documented in the medical record. As of 8/19/2025, patient still has a lump near the vaccine site.

Current illness

Unknown

Allergies

NKDA