Report #2871656

Received Nov 9, 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: Female
Age: 1 yrs
State: NJ
Recovered: Recovered
Vaccinated: Nov 5, 2025
Onset: Nov 6, 2025
Days to onset: 1
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3053238	IM / LL
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	1	U8919AA	IM / RL
HEPA	HEP A (VAQTA)	MERCK & CO. INC.	1	Z003748	IM / RL
MMR	MEASLES + MUMPS + RUBELLA (MMR II)	MERCK & CO. INC.	1	Z008441	IM / LL

Symptoms (2)

CoughStridor

Symptom narrative

stridor and croupy cough started within 12-24 hours of vaccine administration, child remained afebrile,she was evaluated in the emergency room where she recieved racepinephrine and then in our office where she recieved a single dose of Decadron. Of note she attends daycare was asymtpomatic for croup prior to vaccine adminstration.

Current illness

10/20/25- bilateral ear infection, took Amoxicillin from 10/20/25-10/30/25

Medical history

None

Other medications

None

Allergies

None