Report #2869377

Received Oct 29, 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: IL
Recovered: Unknown
Vaccinated: Sep 15, 2025
Onset: —
Days to onset: —
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPIPV	DTAP + IPV (KINRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	4L454	IM / RA
IPV	POLIO VIRUS, INACT. (IPOL)	SANOFI PASTEUR	UNK	Y1A212M	IM / LA
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	2	Z011680	SC / RA

Symptoms (2)

Extra dose administeredNo adverse event

Symptom narrative

No adverse event per mother interview. Reporting as vaccine administration error.

Current illness

None reported

Medical history

None reported

Other medications

None reported

Allergies

Latex