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Report #2897482

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
TX
Recovered
Unknown
Vaccinated
May 21, 2026
Onset
May 21, 2026
Days to onset
0
Hospital days

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
DTAPIPVDTAP + IPV (QUADRACEL)SANOFI PASTEUR5U8623AAUN / LG
MMRVMEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.2Z015274UN / LG

Symptoms (2)

No adverse eventProduct preparation issue

Symptom narrative

The medical assistant mixed the Quadracel as the diluent for the MMRV and then administered the vaccine into the thigh. No side effect following the vaccine. 1 hour following the vaccine given, no side effects reported.

Current illness

None and no illness 1 month prior

Medical history

none

Other medications

None

Allergies

NKDA

Lab data

none