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The following is all the information available on report# VAERS_ID: 713413
Vaccine(s) were received on 10/27/2016
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 concerning an unspecified patients of unknown age and gender. The patients' medical history and concurrent conditions were not reported. On 27-OCT-2016 (also reported as "after that date"), the patient were vaccinated with an unspecified number of doses of improperly stored of PROQUAD lot number L030584, expiration date: 10-FEB-2017 (strength, dose and route were not reported) for prophylaxis. It was reported that the sterile diluent (manufacturer unknown) did not undergo a temperature excursion. The temperature of excursion with PROQUAD was 6 to 14 Fahrenheit degrees during 5 hours. No previous temperature of excursion was performed. The temperature of excursion was detected by data logger. No adverse effects were reported.; Sender's Comments: US-009507513-1709USA008827:


Vaccine(s) associated with report# 713413

TypeNameManufacturerVaccine LOT #Dose SeriesROUTESite
MMRVMEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) MERCK & CO. INC.L0305840UNUN

Symptoms(s) associated with report# 713413

No adverse event
Product storage error