Report #2897480

Received May 21, 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: Recovered
Vaccinated: May 21, 2026
Onset: May 21, 2026
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAP	DTAP (DAPTACEL)	SANOFI PASTEUR	1	4CA37C1	IM / RA
IPV	POLIO VIRUS, INACT. (IPOL)	SANOFI PASTEUR	1	Y1D78P1	IM / LA
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	1	Z009078	SC / RA

Symptoms (3)

Cold sweatDisorientationPallor

Symptom narrative

Pale, clammy skin, mildly disoriented. Mom of patient ensured patient got juice and some water and was feeling better upon leaving clinic.

Current illness

None

Medical history

None

Other medications

None

Allergies

None