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Report #2874783

Received Nov 25, 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
Male
Age
4 yrs
State
NY
Recovered
Recovered
Vaccinated
Nov 13, 2025
Onset
Nov 13, 2025
Days to onset
0
Hospital days
—

Vaccines (4)

TypeNameManufacturerDoseLotRoute / Site
DTAPDTAP (DAPTACEL)SANOFI PASTEUR54CA34C1IM / RA
IPVPOLIO VIRUS, INACT. (IPOL)SANOFI PASTEUR5Y1049P1IM / LA
MMRMEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.2Z006287SC / RA
VARCELVARICELLA (VARIVAX)MERCK & CO. INC.2Z010437SC / LA

Symptoms (3)

Injection site erythemaInjection site swellingInjection site warmth

Symptom narrative

redness, swelling, warm to touch Right deltoid 4.5" x 4.5" redness warmth, hard

Current illness

N/A

Medical history

Recurrent Croup, mild persistent asthma

Other medications

Albuterol HFA PRN

Lab data

N/A