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Report #2830691

Received Mar 11, 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
11 yrs
State
CA
Recovered
Recovered
Vaccinated
Feb 28, 2025
Onset
Feb 28, 2025
Days to onset
0
Hospital days
—

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSUNKAE2J7IM / RA
MMRMEASLES + MUMPS + RUBELLA (PRIORIX)GLAXOSMITHKLINE BIOLOGICALSUNKX019107IM / LA
VARCELVARICELLA (VARIVAX)MERCK & CO. INC.UNKY007955IM / LA

Symptoms (2)

No adverse eventWrong product administered

Symptom narrative

Patient given MMR, Varicella and Flu vaccine instead of the ordered HPV vaccine. Patient was monitored for 30 minutes after receiving vaccines. No symptoms noted.

Current illness

Upper respiratory infection

Other medications

None

Allergies

None known allerigies

Lab data

None