Report #2866388

Received Oct 16, 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: OH
Recovered: Recovered
Vaccinated: Oct 15, 2025
Onset: Oct 15, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
HIBV	HIB (PEDVAXHIB)	MERCK & CO. INC.	1	Y020467	IM / RA
HPV9	HPV (GARDASIL 9)	MERCK & CO. INC.	1	Y018297	IM / RA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	37R35	IM / LA

Symptoms (1)

Wrong product administered

Symptom narrative

Patient was suppose to receive Menveo But was given HIB.

Current illness

N/A

Medical history

N/A

Other medications

GuanFacine HCL 1Mg Vyvanse 40mg Buproprion HCL ER 300mg

Allergies

N/A

Lab data

N/A