Report #2863015

Received Oct 3, 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: Male
Age: 4 yrs
State: VA
Recovered: Recovered
Vaccinated: Oct 3, 2025
Onset: Oct 3, 2025
Days to onset: 0
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	4	—	—
DTAPIPV	DTAP + IPV (KINRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	—	—
FLU3	INFLUENZA (SEASONAL) (FLULAVAL)	GLAXOSMITHKLINE BIOLOGICALS	UNK	—	—
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	2	—	—

Symptoms (2)

ErythemaUrticaria

Symptom narrative

Diffuse body redness and hives

Current illness

None

Medical history

Repaired tetrology of Fallot

Other medications

Cetirizine prn

Allergies

Sulfa

Lab data

Given cetirizine. monitored for 1 hour