Report #2856868

Received Sep 4, 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: 5 yrs
State: TN
Recovered: Recovered
Vaccinated: Aug 11, 2025
Onset: Aug 11, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAP	DTAP (INFANRIX)	GLAXOSMITHKLINE BIOLOGICALS	6	47Y5M	IM / RL
IPV	POLIO VIRUS, INACT. (IPOL)	SANOFI PASTEUR	6	Y1A201M	IM / LL
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	3	Z005151	IM / RL

Symptoms (1)

Extra dose administered

Symptom narrative

Patient received duplicate doses of dtap,ipv, and mmrv. On 8/11/25, database screen did not show that child had received his second MMR and Varicella IMM or his last doses needed in his DTAP or IPV series. Patient was 5 y/o at time of visit. Threfore I procedded to admin these imm. Database now is showing that patietn had these shot previously at 4 y/o on 10/05/23.

Current illness

N/A

Medical history

N/A

Other medications

N/A

Allergies

NKA

Lab data

N/A