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Report #2875121

Received Nov 26, 2025

Office visit
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
4 yrs
State
MO
Recovered
Recovered
Vaccinated
Oct 31, 2025
Onset
Oct 31, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
UNKVACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURERUNKUK232ABIM / LL

Symptoms (1)

Product preparation issue

Symptom narrative

When doing last Reconciliation I identified a Pentecel was given incorrectly. The green top powder was given but not mixed with the blue top liquid that remains in the box. I contacted the manufacture and the provider. I was informed that it should not be harmful to the children since only part of the vaccine was given. The employee could not remember what liquid was given but though it had to be a sterile Diluent. We will need to give this vaccine again as the last one is invalid. I called and informed the guardian who verbalized understanding. I submitted a VEARS and internal Incident Report, reporting this situation and have had serious talks with staff.

Current illness

NO

Medical history

NO

Other medications

NO

Allergies

NO