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Report #2865742

Received Oct 14, 2025

ER / ED visitOffice 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
NY
Recovered
Not recovered
Vaccinated
Oct 14, 2025
Onset
Oct 14, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
DTAPIPVDTAP + IPV (KINRIX)GLAXOSMITHKLINE BIOLOGICALS14L454IM / LA
MMRVMEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.UNKZ008221SC / RA

Symptoms (4)

CyanosisErythemaUrticariaVomiting

Symptom narrative

Vaccines given at 1159. Mother called on her way to the car, spoke with RN stating red cheeks. Returned to office at 1240. Patient with erythematous cheeks and urticaria on face spreading downward. No swelling noted. Good air entry. Sats >97%. Tachy from 150-160. 17mg PO diphenhydramine given at 1300. At 1308- started with NB, NB emesis and perioral cyanosis. 0.15mg epipen given @ 1309. Vitals monitored. HR improved, erythema resolved with residual urticaria noted in abdomen. Perioral cyanosis improved. Patient stated feeling better. 911 called. Patient sent to [withheld name] ED for further monitoring.

Current illness

NA

Medical history

NA

Other medications

NA

Allergies

NKA

Lab data

NA