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Report #2896634

Received May 14, 2026

Reports are unverified and do not show that a vaccine caused an event. Full disclaimer

Overview

Sex
Male
Age
1.8 yrs
State
MS
Recovered
Unknown
Vaccinated
May 11, 2026
Onset
May 11, 2026
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
MMRVMEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.1Z016252SC / RL

Symptoms (2)

No adverse eventUnevaluable event

Symptom narrative

no symptoms or adverse effect have been reported at this time, but we were told to fill out this form.

Current illness

no

Medical history

no

Other medications

no

Allergies

no

Lab data

none