Report #2873595

Received Nov 19, 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: 13 yrs
State: AZ
Recovered: Recovered
Vaccinated: Nov 17, 2025
Onset: Nov 19, 2025
Days to onset: 2
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLULAVAL)	GLAXOSMITHKLINE BIOLOGICALS	2	5EF45	RA
HPV9	HPV (GARDASIL 9)	MERCK & CO. INC.	2	Yo15599	IM / LA

Symptoms (2)

Extra dose administeredNo adverse event

Symptom narrative

Pt is with Group home and pt is currently doing well , no adverse reaction. PT presented to clinic on 11/17/25 to obtain vaccines. Pt wrote name on consent form, and copy of registry printout from 8/15/25 also showed the name which showed in registry no flu shot received at that time. Flu shot was given to pt on 11/17/25 and also hpv given on 11/17/25. Pt's report reflects a different name Name given and it reflects flu shot on 9/8/25 which was not documented in the registry.

Current illness

none

Medical history

none

Other medications

none

Allergies

none

Lab data

none