Report #2891260

Received Mar 31, 2026

ER / ED visitOffice visit

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Overview

Sex: Male
Age: 4 yrs
State: MI
Recovered: Unknown
Vaccinated: Mar 27, 2026
Onset: Mar 28, 2026
Days to onset: 1
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPIPV	DTAP + IPV (QUADRACEL)	SANOFI PASTEUR	5	U8383AB	IM / LL
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	2	Z011681	SC / RL

Symptoms (5)

Injection site erythemaInjection site painInjection site pruritusInjection site swellingInjection site warmth

Symptom narrative

Left thigh became red, swollen, warm to touch, itchy, and painful

Current illness

N/A

Medical history

N/A

Other medications

N/A

Allergies

Amoxicillin

Lab data

N/A