Report #2863011

Received Oct 3, 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: 1.3 yrs
State: IA
Recovered: Unknown
Vaccinated: Oct 3, 2025
Onset: Oct 3, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
UNK	VACCINE NOT SPECIFIED (NO BRAND NAME)	UNKNOWN MANUFACTURER	1	Z010730	SC / RL

Symptoms (1)

Wrong product administered

Symptom narrative

MMRV (proquad) was provided instead of the ordered med MMR II. Patient was also separately given the varivax shot in the oposite leg on the same day.

Current illness

None

Medical history

None

Other medications

None

Allergies

None

Lab data

none