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Report #2870865

Received Nov 5, 2025

ER / ED visitOffice 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
MN
Recovered
Unknown
Vaccinated
Nov 5, 2025
Onset
Nov 5, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
MMRMEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.2Y018962SC / LA
VARCELVARICELLA (VARIVAX)MERCK & CO. INC.2Y017914SC / RA

Symptoms (2)

Anaphylactic reactionImmediate post-injection reaction

Symptom narrative

Give patient MMR and varicella at 4:29 PM. Patient starting to have an anaphylaxis allergic reaction right away. Notified Dr. right away. Epi pen junior was given to the patient and call EMS to take patient to the hospital. Patient was taken to hospital.

Current illness

Normal in the last month.

Medical history

Anemia Biallelic mutation of ABCB4 gene Cholestasis (H) Elevated alanine aminotransferase (ALT) level Elevated INR Elevated liver enzymes Eosinophilic esophagitis Erythema nodosum Hepatomegaly Intrahepatic cholestasis Mild pulmonary stenosis Nasal congestion of newborn Perirectal fistula Progressive familial intrahepatic cholestasis type 3 Pruritic disorder Sepsis (H) Term newborn, current hospitalization Transaminitis Vitamin D deficiency Vitamin E deficiency

Other medications

Pt is taking budesonide, cetirizine, VITAMIN D3, EPINEPHrine, multivitamin, Odevixibat Pellets, phytonadione, rifampin, and ursodiol.

Allergies

Fish Protein-containing, Gummy Gel Base [Gelatin Base], Hazelnuts [Nuts, Mvw Complete Formulation [Vitamax Pediatric], Peanut-containing Drug Products, Soy Allergy (Obsolete), Amoxicillin, Egg Yolk, and Keflex [Cephalexin]