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Report #2867853

Received Oct 23, 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
Female
Age
17 yrs
State
MN
Recovered
Recovered
Vaccinated
Oct 16, 2025
Onset
Oct 16, 2025
Days to onset
0
Hospital days
—

Vaccines (4)

TypeNameManufacturerDoseLotRoute / Site
HEPHEP B (RECOMBIVAX HB)MERCK & CO. INC.1Y003449IM / RA
IPVPOLIO VIRUS, INACT. (IPOL)SANOFI PASTEUR2Y1A201MIM / LA
MMRVMEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.2Y014307SC / LA
VARCELVARICELLA (VARIVAX)MERCK & CO. INC.2y013347SC / RA

Symptoms (3)

Extra dose administeredNo adverse eventWrong product administered

Symptom narrative

MMRV administered instead of MMR. Patient received 2 doses of Varicella, Varivax and Proquad administered in the same visit. No adverse reactions noted.

Current illness

NA

Medical history

NA

Other medications

NA

Allergies

NDKA

Lab data

NA