Received Dec 31, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| UNK | VACCINE NOT SPECIFIED (NO BRAND NAME) | UNKNOWN MANUFACTURER | 1 | Y005248 | LL |
No additional AE; temperature excursion were administered; This Spontaneous report was received from a Medical Assistant and referred to a Male patient of unknown age. No information was provided regarding the patient's medical history, concurrent conditions, drug reactions or allergies and concomitant medication. On an unknown date, the patient was vaccinated with Haemophilus b Conjugate Vaccine (Meningococcal Protein Conjugate) Suspension for injection (LIQUID PEDVAX HIB) which underwent a temperature excursion (Product storage error) at a dose of 0.50 mL, lot number: Y005248 and expiration date of 17-Sep-2026 in the left thigh for prophylaxis (route of administration was not reported). Temperature excursion was reported as 9.1 degrees Celsius for 0 hours 47 minutes 0 seconds, no previous temperature excursions reported. No additional adverse events.