Report #2877215

Received Dec 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: Male
Age: 4 yrs
State: WI
Recovered: Recovered
Vaccinated: Dec 8, 2025
Onset: Dec 8, 2025
Days to onset: 0
Hospital days: —

Vaccines (5)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPIPV	DTAP + IPV (KINRIX)	GLAXOSMITHKLINE BIOLOGICALS	5	52D72	IM / LA
FLUN3	INFLUENZA (SEASONAL) (FLUMIST)	MEDIMMUNE VACCINES, INC.	1	YF3413B	IN / NS
IPV	POLIO VIRUS, INACT. (IPOL)	SANOFI PASTEUR	5	Y1D03P1	IM / RA
MMR	MEASLES + MUMPS + RUBELLA (MMR II)	MERCK & CO. INC.	2	Y017527	SC / RA
VARCEL	VARICELLA (VARIVAX)	MERCK & CO. INC.	2	Y006524	SC / LA

Symptoms (3)

Extra dose administeredLimb discomfortTenderness

Symptom narrative

Child was given extra dose of polio vaccine as error was made due to not recognizing polio was already in the Kinrix Dtap. Vaccine error took place on 12/08/2025 at approx. 1630. Symptoms of bilateral arm tenderness started at approx. 2030 on 12/08/2025. Increased discomfort to arms the morning of 12/09/2025. Mother gave the child Tylenol and child went to school. Child returned home from school at 1600 on 12/09/2025 and reported his arms "felt much better".

Current illness

respiratory infection/cough within the past month

Medical history

None

Other medications

Tylenol

Allergies

None

Lab data

None