Report #2838065

Received Apr 25, 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: —
Recovered: Unknown
Vaccinated: Apr 25, 2025
Onset: Apr 25, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
MNQ	MENINGOCOCCAL CONJUGATE (MENQUADFI)	SANOFI PASTEUR	UNK	U8375AB	RA
TDAP	TDAP (ADACEL)	SANOFI PASTEUR	UNK	U8252AA	IM / LA

Symptoms (2)

No adverse eventWrong patient

Symptom narrative

MCV4 U8375AB Right Deltoid IM, and Tdap U8252AA Left Deltoid IM, was inadvertently administered to patient. Instead of intended recipient. The patient was verbally asked to state his name, which he did. I then stated the the date of birth and the patient said yes. I proceeded with the vaccine. The error was identified shortly after administration. Patient was observed for 30 Minutes, there was no adverse reaction. Patient's mother was notified immediately and provided with a full explanation of the error. Provider was informed at 11:18AM School Nurse was also notified.