Report #2861793

Received Sep 26, 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: 4 yrs
State: CA
Recovered: Recovered
Vaccinated: Sep 25, 2025
Onset: Sep 25, 2025
Days to onset: 0
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLULAVAL)	GLAXOSMITHKLINE BIOLOGICALS	UNK	FH4YR	UN / UN
HEPA	HEP A (HAVRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	3255P	UN / UN
MMR	MEASLES + MUMPS + RUBELLA (MMR II)	MERCK & CO. INC.	UNK	Z005718	UN / UN
VARCEL	VARICELLA (VARIVAX)	MERCK & CO. INC.	UNK	Z003767	UN / UN

Symptoms (2)

No adverse eventWrong patient

Symptom narrative

Medical Assistant administered vaccines to the wrong patient. No adverse reaction. Patient was evaluated on 9/26/25 with Dr. (name withheld). No further reaction documented in patient chart.

Current illness

Unknown

Medical history

N/A

Other medications

Not Applicable

Allergies

No Known Allergies

Lab data

Not Applicable