Report #2871948

Received Nov 10, 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: Female
Age: 0.5 yrs
State: WA
Recovered: Unknown
Vaccinated: Oct 30, 2025
Onset: Oct 30, 2025
Days to onset: 0
Hospital days: —

Vaccines (6)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052859	IM / LL
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	1	UT8802NA	IM / RA
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	3	LX2496	IM / RL
RSV	RSV (ABRYSVO)	PFIZER\WYETH	1	AZ240045	IM / LL
RV5	ROTAVIRUS (ROTATEQ)	MERCK & CO. INC.	3	2051965	PO / MO
VARCEL	VARICELLA (VARIVAX)	MERCK & CO. INC.	1	Y013350	IM / LL

Symptoms (3)

No adverse eventProduct administered to patient of inappropriate ageWrong product administered

Symptom narrative

Pt should have received the Vaxelis Combo (Dtap, Hib, Hep B, Polio) but Varivax (Varicella) was given by mistake. There were no symptoms exhibited.

Current illness

none

Medical history

none

Other medications

none

Allergies

none

Lab data

None