Report #2870292

Received Nov 3, 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: 0.8 yrs
State: TX
Recovered: Recovered
Vaccinated: Oct 29, 2025
Onset: Oct 30, 2025
Days to onset: 1
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	UNK	u8863da	IM / RL
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	UNK	z008499	SC / RL

Symptoms (1)

Wrong product administered

Symptom narrative

Patient was advised to come in the office to receive MMR vaccine per Dr. okay to give for travel can be placed on schedule as a nurse visit. Employee pulled the patient back to give the MMR and Flu vaccine. Instead of administering the MMR that was for ages 12 month and older, she mistakenly grabbed the vaccine Proquad which contained MMR and Varicella. The patient received MMR and Varicella along with the Flu vaccine. After reviewing the chart the next day, she realized she gave the wrong vaccine. Manager and Dr. were notified.

Current illness

Varicella 10/20/2025

Medical history

n/a

Other medications

cholecalciferol, VITAMIN D3, 10 mcg/mL (400 unit/mL) drops

Allergies

NKDA

Lab data

n/a