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Report #2840253

Received May 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
SC
Recovered
Recovered
Vaccinated
May 7, 2025
Onset
May 7, 2025
Days to onset
0
Hospital days
—

Vaccines (4)

TypeNameManufacturerDoseLotRoute / Site
DTPPVHBHPBDTAP+IPV+HIB+HEPB (VAXELIS)MSP VACCINE COMPANY4U7776AAIM / LA
HPV9HPV (GARDASIL 9)MERCK & CO. INC.1Y010466IM / RA
MNQMENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICS1U8361AAIM / RA
TDAPTDAP (ADACEL)SANOFI PASTEUR1U8252AAIM / LA

Symptoms (3)

Extra dose administeredNo adverse eventWrong product administered

Symptom narrative

VAXELIS WAS GIVEN BY MA IN ERROR. WHEN SHE CHECKED THE VACCINES OUT TO ME I REALIZED SHE HAD PULL VAXELIS INSTEAD OF TDAP. SHE AND I WENT TO PULL THE TDAP AND RETURN VAXELIS TO THE ACCUVAX. SHE PULLS UP THE VAXELIS TO RETURN IT AND PLACE THE HPV VACCINE INTO THE MACHINE INSTEAD OF VAXELIS. AFTER GIVING VACCINES UPON DOCUMENTING SHE NOTICED THE ERROR. SHE THEN NOTIFIED ME, HER SUPERVISOR THAT VAXELIS, TDAP, MCV4 WAS GIVEN. PROVIDER, PATIENT'S MOTHER AND PATIENT NOTIFIED OF ERROR. THE HPV WAS THEN PULLED AND GIVEN TO PATIENT, SO HE RECEIVED ALL VACCINES NEEDED TO BE UP TO DATE. PATIENT WAS OBSERVED IN OFFICE FOR 15MINS. NO SIGN OR SYMPTOMS NOTED. PATIENT'S MOTHER WAS ADVISED TO CALL US OR SEEK MEDICAL CARE, IF ANY SYMPTOM OCCURS. SHE VOICED UNDERSTAND.

Current illness

nobe

Medical history

none

Other medications

none

Allergies

NKDA

Lab data

NONE