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Report #2853826

Received Aug 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
Female
Age
12 yrs
State
AL
Recovered
Recovered
Vaccinated
Aug 11, 2025
Onset
Aug 1, 2025
Days to onset
—
Hospital days
—

Vaccines (5)

TypeNameManufacturerDoseLotRoute / Site
HEPHEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS57NX57IM / LA
IPVPOLIO VIRUS, INACT. (IPOL)SANOFI PASTEUR7+y1a201mIM / LA
MMRMEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.3y008290SC / LA
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS19JT45IM / RA
VARCELVARICELLA (VARIVAX)MERCK & CO. INC.1z004455SC / RA

Symptoms (2)

Extra dose administeredNo adverse event

Symptom narrative

Patient was seen in clinic and administered vaccines(IPV, Hep b, MMR, varicella and Tdap) per vaccine forecaster. After vaccines had been administered and return appointment scheduled for future vaccines, father of patient presented vaccine record to nurse and stated that the child had received previous vaccines in another county and that he had presented the vaccine record to front desk clerk at beginning of appointment. Nurse had clinic clerk to update the vaccine record in system which verified that HepB and MMR were extra doses, IPV was valid due to a previous invalid dose and Tdap and Varicella were valid doses. Father of patient was notified of vaccine error and was understanding. Appointment for second dose of Varicella was scheduled. MD, district supervisor, clinic supervisor, and clerical supervisor were notified. Patient displayed no reactions to vaccinations and ambulated out of clinic without assistance.

Current illness

none

Medical history

none

Other medications

none

Allergies

NKDA

Lab data

none