Report #2894562

Received Apr 27, 2026

Office visit

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: Unknown
Vaccinated: Apr 27, 2026
Onset: Apr 27, 2026
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPIPV	DTAP + IPV (KINRIX)	GLAXOSMITHKLINE BIOLOGICALS	5	E2JX7	IM / RA
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	2	Z014740	SC / LA

Symptoms (5)

ErythemaEye swellingOropharyngeal discomfortPruritusUrticaria

Symptom narrative

Approximately 10 minutes after vaccines were administered mom reported that patient c/o "throat feeling funny", itchiness all over body, swollen eyes. Cetirizine was given and patient discharged home. Patient brought back to clinic about 2 hours later with hives, severe skin redness, extremely swollen eyes, and pt. still continuing to report "throat" issues. After re-assessment at the clinic, Epi Pen Jr. administered to the thigh. After most symptoms resolved, patient also given oral Dexamethasone.

Current illness

None

Medical history

-Omphalocele -Hypospadias

Other medications

Tylenol and Motrin as needed

Allergies

NKA