Received Aug 25, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| MMRV | MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) | MERCK & CO. INC. | UNK | Z007212 | OT / LA |
| VARCEL | VARICELLA (VARIVAX) | MERCK & CO. INC. | UNK | Y013350 | LA |
The patient has not reported any side effects related to receiving both vaccines in his left deltoid today, 07Aug2025.; This medical assistant reports that this 16 year old male patient received both a ProQuad (Measles, Mumps, Rubella, and Varicella Virus Vaccine Live) and Varivax (Varicella Virus Vaccine Live) vaccinations in his left deltoid on 07Aug2025.; This medical assistant reports that this 16 year old male patient received both a ProQuad (Measles, Mumps, Rubella, and Varicella Virus Vaccine Live) and Varivax (Varicella Virus Vaccine Live) vaccinations in his left deltoid on 07Aug2025.; This spontaneous report was received from a Medical assistant on 07-AUG-2025 and refers to 16-year-old male patient. The patient's medical history, concurrent conditions and concomitant therapies were not reported. The Medical assistant reported that patient's first visit to the clinic and limited medical history was available. On 07-Aug-2025, the patient was vaccinated with a dose of Varicella Virus Vaccine Live (Oka-Merck) (VARIVAX), (lot #Y013350, expiration date: 02-Aug-2026) and Measles, Mumps, Rubella and Varicella (Oka-Merck) Virus Vaccine Live (PROQUAD) (lot #Z007212, expiration date: 05-Oct-2026) in Left Deltoid for prophylaxis (dose , route, and dose number were unspecified)( Overdose, Product administered to patient of inappropriate age). The vaccine was reconstituted with sterile diluent (MERCK STERILE DILUENT) (route, lot#, dose, dose number were unspecified) for prophylaxis, on the same date. The patient had not reported any side effects related to receiving both vaccines in his left deltoid, Lot # will be requested and will be submitted if received.
Sterile diluent