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Report #2858457

Received Sep 12, 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
4 yrs
State
TX
Recovered
Recovered
Vaccinated
Aug 16, 2025
Onset
Aug 16, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
DTAPIPVDTAP + IPV (QUADRACEL)SANOFI PASTEURUNKu8198aaIM / RL
MMRVMEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.UNKz008502SC / LL

Symptoms (2)

Extra dose administeredNo adverse event

Symptom narrative

patient came with father to catch up on vaccines on 8/16. patient was showing past due for MMRV and DTAP/IPV. during appointment father said that patient had received shots earlier that week. Father did not know what shots were given or from where. This nurse went back to the computer to double check our records. Upon looking system was still showing that the vaccines were still past due and, at the time, no shots were seen haven been given that week. This nurse told this information to the father. Father consented to administering the vaccines and signed the consent form. This nurse was notified of adverse event on 9/9. This nurse spoke with Dr. on that day about possible adverse reactions to receiving second dose of vaccines. Dr informed this nurse that there should be no adverse reactions on patient. On same day this nurse called the father to inform of second vaccine shot and to inquire about where the vaccines on 8/13 were given. Father did not know and this nurse advised that they would look into the issue. on 9/11 this nurse spoke with both parents and advised about the second vaccine, the 8/13 shots not showing in the records, as well as there should be no adverse reactions from receiving second shot. Parents understood this and reported that the pt had not shown any adverse reactions to the second dose.

Other medications

unknown medications taken at time. pt has prescription for zyrtec and flonase.

Allergies

nka