Report #2856122

Received Aug 29, 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: 12 yrs
State: NC
Recovered: Unknown
Vaccinated: Aug 28, 2025
Onset: Aug 28, 2025
Days to onset: 0
Hospital days: —

Vaccines (5)

Type	Name	Manufacturer	Dose	Lot	Route / Site
HEPA	HEP A (HAVRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	MB599	IM / LA
HPV9	HPV (GARDASIL 9)	MERCK & CO. INC.	1	Y	IM / RA
IPV	POLIO VIRUS, INACT. (IPOL)	SANOFI PASTEUR	UNK	Y1A212M	IM / LA
MNQ	MENINGOCOCCAL CONJUGATE (MENQUADFI)	SANOFI PASTEUR	1	U8	IM / RA
VARCEL	VARICELLA (VARIVAX)	MERCK & CO. INC.	UNK	Z005456	SC / RA

Symptoms (3)

Extra dose administeredNo adverse eventWrong patient received product

Symptom narrative

RN called different client's name and patient stood up. RN did not verify name or DOB before administering three vaccines- Hep A, Polio IPV, and Varicella. Patient was already up to date on series for those vaccines and parent reported no adverse effects in the past. RN identified mistake and parent agreed for patient to receive needed vaccines- HPV and Meningococcal.

Current illness

None

Medical history

None

Other medications

Unknown

Allergies

NKA

Lab data

N/A