Report #2860041

Received Sep 19, 2025

Office visit

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Overview

Sex: Male
Age: 14 yrs
State: CA
Recovered: Recovered
Vaccinated: Sep 13, 2025
Onset: Sep 13, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
MMR	MEASLES + MUMPS + RUBELLA (MMR II)	MERCK & CO. INC.	2	—	LA
VARCEL	VARICELLA (VARIVAX)	MERCK & CO. INC.	1	—	RA

Symptoms (3)

Body temperature decreasedChillsOxygen saturation decreased

Symptom narrative

Patient experienced shivering, oxygen desaturation, and temperature drop. His blood pressure and heart rate remained stable. His temperature normalized after he had drapes placed. Oxygen saturation normalized immediately.

Current illness

N/A

Medical history

N/A

Other medications

Benzoyl peroxide 5%

Allergies

NKDA

Prior vaccinations

Parent cannot recall the date, patient's age, vaccine type, or brand name.