Report #2864621

Received Oct 9, 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: 1 yrs
State: MI
Recovered: Recovered
Vaccinated: Oct 7, 2025
Onset: Oct 7, 2025
Days to onset: 0
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPHEPBIP	DTAP + HEPB + IPV (PEDIARIX)	GLAXOSMITHKLINE BIOLOGICALS	4	9C295	IM / LL
HEPA	HEP A (HAVRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	DN273	IM / LL
MMR	MEASLES + MUMPS + RUBELLA (PRIORIX)	GLAXOSMITHKLINE BIOLOGICALS	1	49M2F	SC / RL
VARCEL	VARICELLA (VARIVAX)	MERCK & CO. INC.	1	—	SC / RL

Symptoms (1)

Wrong product administered

Symptom narrative

Medical assistant pulled incorrect vaccine. PedVax Hib was ordered.

Current illness

Medical history

Other medications

Nystatin Topical Cream

Allergies

None Known