Report #2867477

Received Oct 21, 2025

ER / ED 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: CA
Recovered: Recovered
Vaccinated: Sep 23, 2025
Onset: Sep 24, 2025
Days to onset: 1
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	—	LG
DTAPIPV	DTAP + IPV (KINRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	—	LG
FLU3	INFLUENZA (SEASONAL) (FLUARIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	—	LG
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	UNK	—	LG

Symptoms (1)

Febrile convulsion

Symptom narrative

febrile seizure lasting about 1.5 minutes, temperature measures after seizure 104F

Current illness

none

Medical history

asthma, history of febrile seizures

Other medications

none

Allergies

none