Report #2856009

Received Aug 28, 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: 1.3 yrs
State: MI
Recovered: Unknown
Vaccinated: Aug 28, 2025
Onset: Aug 28, 2025
Days to onset: 0
Hospital days: —

Vaccines (7)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAP	DTAP (INFANRIX)	GLAXOSMITHKLINE BIOLOGICALS	4	5KR3R	IM / LL
HEPA	HEP A (HAVRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	3255P	IM / RL
HIBV	HIB (PEDVAXHIB)	MERCK & CO. INC.	4	Y007178	IM / RL
IPV	POLIO VIRUS, INACT. (IPOL)	SANOFI PASTEUR	4	Y1A201M	IM / RL
MMR	MEASLES + MUMPS + RUBELLA (MMR II)	MERCK & CO. INC.	1	Y013172	IM / LL
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	4	LN4931	IM / LL
VARCEL	VARICELLA (VARIVAX)	MERCK & CO. INC.	1	Y020586	IM / RL

Symptoms (2)

Extra dose administeredNo adverse event

Symptom narrative

Child's parents offered but declined a 4th dose of Pentacel, requesting that Hib and Dtap be administered separately to avoid the extra dose of polio. An extra dose of polio was administered in error, as a separate injection. Parents notified of error. Child observed for 15 minutes- no adverse effects noted.