Report #2881852

Received Jan 14, 2026

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: MO
Recovered: Unknown
Vaccinated: Jan 13, 2026
Onset: Jan 14, 2026
Days to onset: 1
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPIPV	DTAP + IPV (KINRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	—	IM / LL
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	UNK	—	IM / RL
VARCEL	VARICELLA (VARIVAX)	MERCK & CO. INC.	UNK	—	IM / LL

Symptoms (1)

Wrong product administered

Symptom narrative

Was giving pt 4 yr old shots and i read the vial wrong missing that it was a combination shot mmr and varicella. so i gave just a plain varicella also not knowing and they combination shot.

Current illness

None

Medical history

None

Other medications

None

Allergies

None