Report #2843047

Received May 28, 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: ME
Recovered: Recovered
Vaccinated: May 15, 2025
Onset: May 15, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
MNQ	MENINGOCOCCAL CONJUGATE (MENQUADFI)	SANOFI PASTEUR	1	U8369BA	IM / RA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	9YB4G	IM / LA

Symptoms (3)

Circumstance or information capable of leading to medication errorScratchUnderdose

Symptom narrative

Patient was in office for a WCC and vaccines. Patient is autistic, Mom felt it would be better if the patient could stand and play on the phone while the vaccines are administered. The mother of the patient stood in front and the provider stood behind the patient. When the medical assistants administered the vaccines the patient dropped to their knees causing the needles to come out of the patients are, scratching the patient and the dose only being partially administered.

Medical history

Autistic disorder

Other medications

Ibuprofen

Allergies

Pineapple