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