Report #2837421

Received Apr 22, 2025

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Overview

Sex: Male
Age: 14 yrs
State: IL
Recovered: Recovered
Vaccinated: Apr 18, 2025
Onset: Apr 18, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
IPV	POLIO VIRUS, INACT. (IPOL)	SANOFI PASTEUR	1	X1D141M	IM / LA
MNQ	MENINGOCOCCAL CONJUGATE (MENQUADFI)	SANOFI PASTEUR	1	U8183AA	IM / LA
TDAP	TDAP (ADACEL)	SANOFI PASTEUR	1	3CA30C1	IM / RA

Symptoms (1)

Extra dose administered

Symptom narrative

Patient accidentally received a duplicate dose of all three vaccines: MedQuafi, Adacel and IPOL. First dose administered was 4/17/2025, and second round of doses were administered the next day on 4/18/2025. No adverse signs or symptoms were observed or reported by the patient. The patient's guardian was contacted and informed of the error, and was advised by the physician accordingly, with no additional questions or concerns.

Current illness

None.

Medical history

None.

Other medications

None.

Allergies

None.