The following is all the information available on report# VAERS_ID: 712425
Vaccine(s) were received on 02/08/2016
At the time of vaccination, patient was : 2 of age
Patient sex : U
Reaction was life threatening?: N
Patient eventually recovered from reaction ?: U
Patient eventually died?: N
No adverse event
At the time of vaccination, patient was : 2 of age
Patient sex : U
Reaction was life threatening?: N
Patient eventually recovered from reaction ?: U
Patient eventually died?: N
The following Data for this patients ALLERGIES is available: [ ]
Description of adverse reaction: This spontaneous report was received from a Registered Nurse, referring to a 2 year old patient of unknown gender. The patient's concurrent conditions, pertinent medical history and concomitant medications were not provided. On 08-FEB-2016, the patient was vaccinated with the first dose of PROQUAD lot # L040415 with expiration date on 13-APR-2017 for prophylaxis. Other suspect therapies included sterile diluent (STERILE DILUENT). It was reported that the patient was vaccinated at a inappropriate age, however, no adverse events were reported.
Vaccine(s) associated with report# 712425
| Type | Name | Manufacturer | Vaccine LOT # | Dose Series | ROUTE | Site |
|---|---|---|---|---|---|---|
| MMRV | MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) | MERCK & CO. INC. | L040415 | 1 | UN | UN |
Symptoms(s) associated with report# 712425
Drug administered to patient of inappropriate ageNo adverse event