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Report #2863028

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
Male
Age
4 yrs
State
IN
Recovered
Recovered
Vaccinated
Sep 25, 2025
Onset
Sep 25, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
MMRVMEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.2Z006280SC / LA

Symptoms (2)

Needle issueUnderdose

Symptom narrative

I tried to administer the vaccine but the needle separated from the syringe during administration and the patient did not receive the vaccine as intended.

Current illness

None

Medical history

None

Other medications

None

Allergies

None

Lab data

None