Report #2895839

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

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	4	3053238	IM / RA
DTAPIPV	DTAP + IPV (QUADRACEL)	SANOFI PASTEUR	5	U8623A	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLULAVAL)	GLAXOSMITHKLINE BIOLOGICALS	N/A	7NT95	IM / RA
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	2	Z015174	SC / LA

Symptoms (1)

Product storage issue

Symptom narrative

COVID vaccine was administered after the recommended 60 day refrigerated storage period following thawing.