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Report #2850375

Received Jul 18, 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
18 yrs
State
AZ
Recovered
Recovered
Vaccinated
Jul 17, 2025
Onset
Jul 17, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
UNKVACCINE NOT SPECIFIED (OTHER)UNKNOWN MANUFACTURER1LX5014IM / RA

Symptoms (1)

Product preparation issue

Symptom narrative

The vaccine has two a Lyophilized MenACWYC component and the other is the Men B component The MenB component was given and not the Lyophilized MenACWY Component was not given. thus, was given a partial dose.

Current illness

none

Medical history

Asthma

Other medications

unknown

Allergies

none

Lab data

none