Report #2895746

Received May 7, 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: MA
Recovered: Recovered
Vaccinated: May 7, 2026
Onset: May 7, 2026
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPIPV	DTAP + IPV (QUADRACEL)	SANOFI PASTEUR	N/A	U8623AA	IM / RA

Symptoms (3)

Circumstance or information capable of leading to medication errorNo adverse eventUnderdose

Symptom narrative

Vaccine was partially administered because the patient moved during administration and the needle came out of the patient's arm. No adverse effects, patient's father scheduled an appointment so that he can receive the vaccine again.

Other medications

Ciprofloxacin 0.3%, Loratadine 5mg/5mL, ketotifen fumarate 0.025%

Allergies

strawberries

Lab data

N/A