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Report #2867578

Received Oct 23, 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
0.3 yrs
State
GA
Recovered
Unknown
Vaccinated
Oct 21, 2025
Onset
Oct 21, 2025
Days to onset
0
Hospital days
—

Vaccines (8)

TypeNameManufacturerDoseLotRoute / Site
DTAPHEPBIPDTAP + HEPB + IPV (PEDIARIX)GLAXOSMITHKLINE BIOLOGICALSUNK9C295-PVTIM / LL
HIBVHIB (ACTHIB)SANOFI PASTEUR4UK175AB- PVTIM / RL
HPV9HPV (GARDASIL 9)MERCK & CO. INC.UNKZ002399IM / RL
RV1ROTAVIRUS (ROTARIX)GLAXOSMITHKLINE BIOLOGICALSUNK3Z34X- PVTPO / MO
DTAPHEPBIPDTAP + HEPB + IPV (PEDIARIX)GLAXOSMITHKLINE BIOLOGICALS19C295-PVTIM / LL
HIBVHIB (ACTHIB)SANOFI PASTEUR1UK175AB-PVTIM / RL
HPV9HPV (GARDASIL 9)MERCK & CO. INC.1Z002399ID / RL
RV1ROTAVIRUS (ROTARIX)GLAXOSMITHKLINE BIOLOGICALS13Z34X-PVTPO / MO

Symptoms (1)

Product administered to patient of inappropriate age

Symptom narrative

Provider ordered Prevnar 20, however, HPV (Gardasil 9) was administered to the patient. The provider notified the patient mother of the administration error and counseled the mother on signs/symptoms to monitor for. Instructed mother to notify the provider for any concerns. The have been no reported adverse events as of 10/23/2025.

Current illness

None

Medical history

None

Other medications

None; RSV (BEYFORTIS)

Allergies

None

Lab data

None