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Report #2827843

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 (6)

TypeNameManufacturerDoseLotRoute / Site
HEPHEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS2H39Z4IM / LA
HPV9HPV (GARDASIL 9)MERCK & CO. INC.2Y008640IM / LA
IPVPOLIO VIRUS, INACT. (IPOL)SANOFI PASTEUR2X1C891MIM / RA
MMRMEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.2X027902SC / RA
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS2LX494IM / LA
VARCELVARICELLA (VARIVAX)MERCK & CO. INC.2Y015559SC / 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 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 reported allergies