Report #2855824

Received Aug 27, 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: 13 yrs
State: TN
Recovered: Unknown
Vaccinated: Aug 27, 2025
Onset: Aug 27, 2025
Days to onset: 0
Hospital days: —

Vaccines (5)

Type	Name	Manufacturer	Dose	Lot	Route / Site
HEP	HEP B (ENGERIX-B)	GLAXOSMITHKLINE BIOLOGICALS	UNK	3N2ND	IM / LA
IPV	POLIO VIRUS, INACT. (IPOL)	SANOFI PASTEUR	UNK	Y1A201M	IM / RA
MMR	MEASLES + MUMPS + RUBELLA (MMR II)	MERCK & CO. INC.	UNK	Y013130	SC / LA
TDAP	TDAP (ADACEL)	SANOFI PASTEUR	UNK	4CA28C1	IM / RA
VARCEL	VARICELLA (VARIVAX)	MERCK & CO. INC.	UNK	Z004245	SC / RA

Symptoms (1)

Extra dose administered

Symptom narrative

Patient DOB entered incorrectly. Corrected DOB in records and updated. Then assessed immune registry and only saw one account. The following vaccines were assessed as needed: Tdap, Hep B, IPV, MMR, and Varicella. Vaccines administered. After administration refreshed immune registry and saw patient was duplicated. Reassessed vaccines. Patient needed Tdap vaccine, but did not need Hep B, IPV, MMR, or Varicella vaccines. Parent notified.

Allergies

NKDA