Report #2860903

Received Sep 23, 2025

Office visit

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: 0.6 yrs
State: UT
Recovered: Recovered
Vaccinated: Sep 23, 2025
Onset: Sep 23, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPHEPBIP	DTAP + HEPB + IPV (PEDIARIX)	GLAXOSMITHKLINE BIOLOGICALS	3	TF499	IM / LL
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	1	UT8779LA	RL
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	1	2008864	IM / RL

Symptoms (2)

No adverse eventWrong product administered

Symptom narrative

Patient received an incorrect vaccine (Proquad). This was given in error. No notable symptoms

Current illness

None

Medical history

None

Other medications

None

Allergies

NKDA