Report #2867645

Received Oct 22, 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: Female
Age: 11 yrs
State: MN
Recovered: Unknown
Vaccinated: Aug 15, 2025
Onset: Aug 15, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
HIBV	HIB (PEDVAXHIB)	MERCK & CO. INC.	1	X009000	IM / RA
IPV	POLIO VIRUS, INACT. (IPOL)	SANOFI PASTEUR	UNK	Y1A201M	IM / LA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	PG3RP	IM / LA

Symptoms (1)

Wrong product administered

Symptom narrative

Consent was marked that the client should receive Meningococcal ACWY, but the label used was HIB. Counts were double checked by pharmacy; it appears the client received HIB.