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Report #2878780

Received Dec 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
16 yrs
State
MI
Recovered
Recovered
Vaccinated
Nov 10, 2025
Onset
Nov 20, 2025
Days to onset
10
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
MNQMENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICSUNKAMVB072AIM

Symptoms (1)

Product preparation issue

Symptom narrative

Patient may have been given the saline dose of Menveo without it being mixed with the powder. No ways of verifying this since other patients were also given this vaccine this month. Discovered once count was done. Health Department notified. Family will be offered to have an additional dose or but Health Department states this is not needed.

Medical history

Problem List 18 items very important Problems from outside sources need reconciliation. Coarctation of aorta (HCC) Feeding problems GERD (gastroesophageal reflux disease) Development delay Unilateral partial paralysis of vocal cords or larynx Hypotonia Constipation Dysphagia Moderate persistent asthma (HCC) Bicuspid aortic valve (HCC) Ostium secundum type atrial septal defect (HCC) Aortic root dilation Status post patch closure of ASD Congenital dilation of aorta (HCC) H/O aortic coarctation repair Attention deficit hyperactivity disorder (ADHD), combined type Generalized anxiety disorder Adolescent idiopathic scoliosis, unspecified spinal region

Other medications

Albuterol, Breyna, Zoloft

Allergies

Ibuprofen, Penicillin