Report #2844798

Received Jun 12, 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: AZ
Recovered: Recovered
Vaccinated: Jun 12, 2025
Onset: Jun 12, 2025
Days to onset: 0
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	3	MD3414	IM / LA
HPV9	HPV (GARDASIL 9)	MERCK & CO. INC.	UNK	Y012865	IM / RA
MNQ	MENINGOCOCCAL CONJUGATE (MENVEO)	NOVARTIS VACCINES AND DIAGNOSTICS	UNK	DL4YY	IM / RA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	TD2FD	IM / LA

Symptoms (1)

Product administered to patient of inappropriate age

Symptom narrative

Patient is currently 11 years old and patient was administered by another Medical Assistant a COVID19 Pfizer Vaccine of 12 year +

Current illness

None

Medical history

None

Other medications

None

Allergies

NKDA

Lab data

None