The following is all the information available on report# VAERS_ID: 739019
Vaccine(s) were received on 07/15/2016
Patient sex : U
Reaction was life threatening?: N
Patient eventually recovered from reaction ?: U
Patient eventually died?: N
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 nurse concerning a patient of unknown age and gender. There was no information about the patient's concurrent conditions, medical history or concomitant medication. On 15-JUL-2016, the patient was vaccinated with a dose of M-M-R II lot # L049316 with expiration date of 03-DEC-2017, subcutaneously (dose was not reported) and with a dose of PROQUAD lot # M012986 with expiration date of 12-SEP-2017 (dose and route of administration were not reported) for prophylaxis.
Vaccine(s) associated with report# 739019
| Type | Name | Manufacturer | Vaccine LOT # | Dose Series | ROUTE | Site |
|---|---|---|---|---|---|---|
| MMR | MEASLES + MUMPS + RUBELLA (MMR II) | MERCK & CO. INC. | L049316 | 0 | SC | UN |
| MMRV | MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) | MERCK & CO. INC. | M012986 | 0 | UN | UN |