Report #2861450

Received Sep 25, 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: 4 yrs
State: TX
Recovered: Recovered
Vaccinated: Sep 25, 2025
Onset: Sep 25, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPIPV	DTAP + IPV (KINRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	5C79N	IM / LL
MMR	MEASLES + MUMPS + RUBELLA (PRIORIX)	GLAXOSMITHKLINE BIOLOGICALS	2	XX9N4	IM / RL
VARCEL	VARICELLA (VARIVAX)	MERCK & CO. INC.	2	Z008197	IM / LL

Symptoms (2)

Eye swellingSwelling face

Symptom narrative

swelling on eyes and face on the right side

Current illness

none

Medical history

asthma, GER

Other medications

none

Allergies

none

Lab data

none