Report #2840167

Received May 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: 11 yrs
State: CA
Recovered: Unknown
Vaccinated: May 8, 2025
Onset: May 8, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
HEPA	HEP A (HAVRIX)	GLAXOSMITHKLINE BIOLOGICALS	4	h3n97	IM / RA
MNQ	MENINGOCOCCAL CONJUGATE (MENQUADFI)	SANOFI PASTEUR	1	u8494aa	IM / LA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	9yb4g	IM / LA

Symptoms (1)

Wrong product administered

Symptom narrative

I took my patient vitals he was roomed in room 7, I printed a form and went based of off that form, pt was due for HPV, Tdap, MenQ. i went ahead and grabbed Hep A instead of HPV. I always verify for some reason I didn't this time I administered the extra Dose of Hep A in the Rt deltoid instead of of HPV.

Current illness

N/A

Medical history

N/A

Other medications

N/A

Allergies

N/A

Lab data

n/a