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Report #2867398

Received Oct 21, 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
ME
Recovered
Unknown
Vaccinated
Oct 20, 2025
Onset
Oct 20, 2025
Days to onset
0
Hospital days
—

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR1UT8779KAIM / RA
MENBMENINGOCOCCAL B (TRUMENBA)PFIZER\WYETH1MA2480IM / LA
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS19JT4SIM / LA

Symptoms (1)

Wrong product administered

Symptom narrative

Patient was due for Meningococcal A, C, Y, W but received meningococcal B vaccine instead.