Report #2861423

Received Sep 25, 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: NY
Recovered: Recovered
Vaccinated: Jul 15, 2025
Onset: Jul 15, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
MENB	MENINGOCOCCAL B (TRUMENBA)	PFIZER\WYETH	1	LP6524	IM / LA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	N/A	793PT	IM / RA

Symptoms (1)

Wrong product administered

Symptom narrative

Patient (and parent: father) expected to receive Meningococcal Conjugate (MenQUADfi) Vaccine, but received Meningococcal Type-B inadvertently.

Current illness

None

Medical history

None

Other medications

None

Allergies

None

Lab data

N/A