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VAERS Report 2157408

Case Report Section

Détails du rapport Vaer

Âge: 1 ans

Genre: Male

Région : Outside US

Patient décédé?
Non
Renseignements sur les vaccins

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

Type : Measles, mumps, rubella and varicella vaccine live

Fabricant: MERCK & CO

Lot: u018748


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2021-11-09
Date d’apparition
7
Nombre de jours (date d’apparition – date de vaccination)
7
Description de l’événement indésirable

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

Données de laboratoire
na
Liste des symptômes
rash pyrexia hyperpyrexia
Patient décédé?
Non
Date de décès
N/A
Anomalie congénitale
false
Vaccin administré par :
Unknown
Vaccin acheté par :
Inconnu
Visite d’un patient à l’urgence?
Non
Patient hospitalisé?
Non
Séjour à l’hôpital
Non
Nombre de jours à l’hôpital
Non spécifié
Invalidité permanente?
Non
Allergies:
na
Maladie actuelle
vaccination