Report #2850558

Received Jul 21, 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: WI
Recovered: Unknown
Vaccinated: Jul 16, 2025
Onset: Jul 1, 2025
Days to onset: —
Hospital days: —

Vaccines (6)

Type	Name	Manufacturer	Dose	Lot	Route / Site
HEP	HEP B (ENGERIX-B)	GLAXOSMITHKLINE BIOLOGICALS	3	47D3S	IM / LL
HEPA	HEP A (HAVRIX)	GLAXOSMITHKLINE BIOLOGICALS	2	DN273	IM / LL
HPV9	HPV (GARDASIL 9)	MERCK & CO. INC.	1	1965035	IM / LL
IPV	POLIO VIRUS, INACT. (IPOL)	SANOFI PASTEUR	5	W1C831M	IM / RA
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	N/A	HM0312	IM / LA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	2	CX4HL	IM / LA

Symptoms (2)

No adverse eventWrong product administered

Symptom narrative

Client did not experience any adverse events or treatments. The Prevnar 20 Vaccine was inadvertently given instead of the Meningococcal ACWY Vaccine.

Current illness

None

Medical history

None

Other medications

None

Allergies

None

Lab data

none