Report #2824183

Received Feb 3, 2025

A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex: Female
Age: 11 yrs
State: ID
Recovered: Recovered
Vaccinated: Jan 31, 2025
Onset: Jan 31, 2025
Days to onset: 0
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	LM2221	IM / LA
HPV9	HPV (GARDASIL 9)	MERCK & CO. INC.	1	Y012864	IM / RA
MNQ	MENINGOCOCCAL CONJUGATE (MENQUADFI)	SANOFI PASTEUR	1	U8361AA	IM / RA
TDAP	TDAP (ADACEL)	SANOFI PASTEUR	1	3CA22C1	IM / LA

Symptoms (2)

Incorrect dose administeredPain in extremity

Symptom narrative

Patient left office with only sore arms which is typical for post injection administration. No other adverse reactions were noted. Patient was administered COVID Pfizer for the age group of 12+ instead of 5-11 years. Grandmother accompanied patient to her wellness exam on 1/31/2025. Consent was obtained from mother via phone while in office. Dose does not need to be repeated. System accepted the dose for COVID for the season.

Current illness

N/A

Medical history

N/A

Other medications

None

Allergies

N/A

Lab data

N/A