Report #2888804

Received Mar 12, 2026

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: 12 yrs
State: MI
Recovered: Unknown
Vaccinated: Feb 6, 2026
Onset: Feb 6, 2026
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
IPV	POLIO VIRUS, INACT. (IPOL)	SANOFI PASTEUR	1	X1D141M	SC / RA
MNQ	MENINGOCOCCAL CONJUGATE (MENVEO)	NOVARTIS VACCINES AND DIAGNOSTICS	1	DL4YY	IM / LA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	M2G3Z	IM / LA

Symptoms (1)

Product administered to patient of inappropriate age

Symptom narrative

Patient was contacted and we are waiting on Pharmacy to advice on next steps

Current illness

none

Medical history

history with heart murmur as a child

Other medications

none

Allergies

none

Lab data

None