Report #2876277

Received Dec 4, 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: 0.2 yrs
State: ME
Recovered: Recovered
Vaccinated: Oct 4, 2024
Onset: Oct 4, 2024
Days to onset: 0
Hospital days: —

Vaccines (5)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPIPV	DTAP + IPV (QUADRACEL)	SANOFI PASTEUR	1	U7838AA	IM / RL
HEP	HEP B (ENGERIX-B)	GLAXOSMITHKLINE BIOLOGICALS	2	47XP4	IM / LL
HIBV	HIB (ACTHIB)	SANOFI PASTEUR	1	WOO6596	IM / LL
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	1	HN5980	IM / RL
RV5	ROTAVIRUS (ROTATEQ)	MERCK & CO. INC.	1	2003174	PO / MO

Symptoms (2)

Off label useProduct administered to patient of inappropriate age

Symptom narrative

Patient received Quadracel vaccine, off license use

Current illness

None

Medical history

None

Other medications

None

Allergies

NKA, NKDA

Lab data

None