Report #2865994

Received Oct 15, 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: 5 yrs
State: TN
Recovered: Recovered
Vaccinated: Oct 14, 2025
Onset: Oct 14, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPIPV	DTAP + IPV (KINRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	4L454	IM / LA
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	2	Z010384	IM / RA

Symptoms (1)

Product substitution error

Symptom narrative

Correct vaccines administered but were pulled from the wrong payer VFC. Vaccine reordered from correct payer source state.

Current illness

None

Medical history

None

Other medications

N/A

Allergies

NKDA

Lab data

N/A