Report #2827839

Received Feb 24, 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: Male
Age: 17 yrs
State: NY
Recovered: Unknown
Vaccinated: Feb 19, 2025
Onset: Feb 19, 2025
Days to onset: 0
Hospital days: —

Vaccines (7)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	1	UT8485NA	IM / LA
HEPA	HEP A (HAVRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	T5727	IM / LA
HPV9	HPV (GARDASIL 9)	MERCK & CO. INC.	1	Y008640	IM / RA
MMR	MEASLES + MUMPS + RUBELLA (MMR II)	MERCK & CO. INC.	2	X027902	SC / LA
MNQ	MENINGOCOCCAL CONJUGATE (MENQUADFI)	SANOFI PASTEUR	1	U8351CA	IM / RA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	LX494	IM / LA
VARCEL	VARICELLA (VARIVAX)	MERCK & CO. INC.	1	Y015559	SC / RA

Symptoms (2)

No adverse eventProduct distribution issue

Symptom narrative

Due to the delay in transit the Varicella vaccine deemed spoiled, the issue was identified immediately upon delivery, however staff was not informed right away leading to the administration of an affected Varicella vaccine. Patient will be notified and brought back for revaccination when indicated. No immediate adverse reactions were observed at the time of the reporting.

Current illness

UNKNOWN

Medical history

UNKNOWN

Other medications

UNKNOWN

Allergies

NO ALLERGIES REPORTED