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Report #2834564

Received Apr 8, 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
12 yrs
State
GA
Recovered
Unknown
Vaccinated
Oct 28, 2024
Onset
Oct 28, 2024
Days to onset
0
Hospital days
—

Vaccines (4)

TypeNameManufacturerDoseLotRoute / Site
FLUXINFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURERUNK—OT
HPVXHPV (NO BRAND NAME)UNKNOWN MANUFACTURERUNKX007193OT
UNKVACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURERUNK——
UNKVACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURERUNKX009193OT

Symptoms (2)

No adverse eventProduct storage error

Symptom narrative

No adverse event; Product origin unknown; Improper storage of product in use; This spontaneous report was received from vaccine provider and refers to a 12-year-old male patient. The patient's medical history was not reported. The patient's concurrent conditions were not reported. Concomitant therapies were not reported. On 28-Oct-2024, the patient was vaccinated with improperly storage doses of Human Papillomavirus 9-valent Vaccine, Recombinant (GARDASIL9) or Quadrivalent Human Papillomavirus (Types 6, 11, 16, 18) Recombinant Vaccine (GARDASIL) (reported as HPV) (Product origin unknown), invalid lot #X009193, expiration date: 06-Jun-2026, administered by Intramuscular route; Meningococcal vaccine B (MenB) lot#A2743, expiration date: 30-Sep-2027), administered by Intramuscular route, and Influenza vaccine (Fluzone) lot# UT8485LA, expiration date: 30-Jun-2026, administered by Intramuscular route (lot # was not reported). All the vaccines were administered for prophylaxis. No additional adverse events were reported.