Page breadcrumb nav

VAERS Report 2157397

Case Report Section

Vaer Report Details

Age: 1 years old

Gender: Male

State: Outside US

Patient Died?
No
Vaccine information

Name: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)

Type: Measles, mumps, rubella and varicella vaccine live

Manufacturer: MERCK & CO

Lot: u025964


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2022-01-19
Date of Onset
7
Number of days (onset date – vaccination date)
7
Adverse Event Description

fever greater than equals to 39.5; information has been downloaded from the regulatory authority (it-minisal02-844729). this spontaneous report was received from a other healthcare professional referring to a 1-year-old male patient. the patient's current conditions, medical history, concomitant medications and drug reactions/allergies were not reported. on 19-jan-2022, the patient was vaccinated with measles, mumps, rubella and varicella (oka-merck) virus vaccine live (recombinant human albumin) (rha) (proquad), via subcutaneous route in the left deltoid (lot # u025964 has been verified to be a valid lot number and expiration date was not reported but upon internal validation was established as 31-jan-2023) (dose, strength, indication and formulation were not reported). on 26-jan-2022, the patient experienced hyperpyrexia (reported as "fever greater than equals to 39.5 (units not provided)"). on 29-jan-2022, the patient recovered from hyperpyrexia. the causality assessment was not provided. the agency considered the event "hyperpyrexia" to be medically significant

Lab Data
na
List of symptoms
hyperpyrexia
Patient Died?
No
Date Died
NA
Birth defect
false
Vaccine Administered By:
Unknown
Vaccine Purchased By:
Unknown
Patient visit ER?
No
Patient Hospitalized?
No
Stay in hospital
No
Days in hospital
Unspecified
Permanent disability?
No
Allergies:
na
Current Illness
na