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VAERS Report 2157408

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: u018748


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2021-11-09
Date of Onset
7
Number of days (onset date – vaccination date)
7
Adverse Event Description

fever greater than = 39.5, rash; fever greater than = 39.5, rash; information has been downloaded from the regulatory authority (it-minisal02-845982). this spontaneous report was received from a health professional referring to a 1-year-old male patient. the patient's medical history, concurrent conditions and concomitant therapies were not reported. on 09-nov-2021, the patient was vaccinated with measles, mumps, rubella and varicella (oka-merck) virus vaccine live, recombinant human albumin (rha) (proquad) powder and solvent for suspension for injection in a pre-filled at 1 dosage form, total (lot # u018748, expiration date was not reported; but upon internal validation established as 30-nov-2022), subcutaneously in the left deltoid as vaccination (strength was not reported). on 16-nov-2021, the patient experienced fever greater than or equal to 39.5 (hyperpyrexia) and rash. on 17-nov-2021, the patient recovered from the events. the relatedness between the events and the suspect vaccine was not provided. the agency considered the events of hyperpyrexia and rash to be medically significant

Lab Data
na
List of symptoms
rash pyrexia 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
vaccination