Report #2871861

Received Nov 10, 2025

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Overview

Sex: Female
Age: 16 yrs
State: DE
Recovered: Recovered
Vaccinated: Oct 28, 2025
Onset: Nov 6, 2025
Days to onset: 9
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	2	Z011683	SC / LA

Symptoms (2)

Extra dose administeredWrong product administered

Symptom narrative

on 11/6/2025 it was discovered through performing our inventory reconciliation that on 10/28/2025 an MMR and Varicella was ordered but MMRV (proquad) and Varicella was given instead. attempted to contact patient but no answer; left voicemail and waiting return

Report #2871861

Overview

Vaccines (1)

Symptoms (2)

Symptom narrative

Current illness

Medical history

Other medications

Allergies

Lab data