Report #2872329

Received Nov 12, 2025

ER / ED 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: 5 yrs
State: VA
Recovered: Recovered
Vaccinated: Jul 16, 2025
Onset: Jul 16, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPHEPBIP	DTAP + HEPB + IPV (PEDIARIX)	GLAXOSMITHKLINE BIOLOGICALS	3	5J7EF	IM / LA
HEPA	HEP A (HAVRIX)	GLAXOSMITHKLINE BIOLOGICALS	2	L4EA4	IM / RA
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	2	Y017205	IM / LA

Symptoms (5)

CoughEye swellingLacrimation increasedRash macularThroat irritation

Symptom narrative

Child returned to clinic approx 10 minutes later with eye swollen, watery, red splotches on face; c/o itchy throat, cough, received Epipen Jr and taken to ER via squad

Current illness

unknown

Medical history

unknown

Other medications

None known

Allergies

NKA

Lab data

unknown