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Report #2832671

Received Apr 9, 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
GA
Recovered
Unknown
Vaccinated
Oct 23, 2024
Onset
Oct 23, 2024
Days to onset
0
Hospital days
—

Vaccines (4)

TypeNameManufacturerDoseLotRoute / Site
UNKVACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURERUNKX025115OT
UNKVACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURERUNKV18415MAOT
FLUXINFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURERUNKWT8413MAOT
UNKVACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURERUNKX023113OT

Symptoms (2)

No adverse eventProduct storage error

Symptom narrative

No additional AE; administered improperly stored GARDASIL 9; This spontaneous report was received from a reporter and refers to a 12-year-old male patient. The patient's medical history was not reported. His concurrent conditions included ADHD and autism. Concomitant therapies were not reported. On 23-Oct-2024, at a private doctor's or hospital, the patient was vaccinated with an improperly stored dose of Human Papillomavirus 9-valent Vaccine, Recombinant (GARDASIL 9) (lot number reported as X023113, which has been verified as valid, expiration date reported and validated as 10-MAY-2026) administered by intramuscular route for prophylaxis; and with a flu vaccine. It was reported that the fridge dropped below freezing while office was closed over the weekend (Product storage error). No additional adverse events were reported. No symptoms were reported. No additional adverse event (AE) details reported. No additional AE or product quality complaint (PQC).; Sender's Comments: Priority : 4 , Is case serious : No , Index user : , Index date : 2025-03-13 , number : , number : , number : , number : , Central date : 2025-03-10 , Classification : , Attachment description : Post Marketing Basic , Safety case number :

Current illness

ADHD; Autism