Report #2853798

Received Aug 12, 2025

Office visit

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Overview

Sex: Female
Age: 13 yrs
State: IA
Recovered: Recovered
Vaccinated: Aug 11, 2025
Onset: Aug 11, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
HEPA	HEP A (HAVRIX)	GLAXOSMITHKLINE BIOLOGICALS	2	3S54K	IM / RA

Symptoms (1)

Product administered to patient of inappropriate age

Symptom narrative

An adult dose of Hepatitis A was given as the second dose in the series of two. Patient is a 13 year old patient.

Current illness

None

Medical history

None

Other medications

MTV, Tylenol, Ibuprofen, cetirizine

Allergies

None

Lab data

None