Report #2892539

Received Apr 13, 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: 16 yrs
State: GA
Recovered: Recovered
Vaccinated: Apr 9, 2026
Onset: Apr 9, 2026
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
MNP	MENINGOCOCCAL CONJUGATE (PENMENVY)	GLAXOSMITHKLINE BIOLOGICALS	1	5S723	IM / RA

Symptoms (1)

Product preparation issue

Symptom narrative

Vaccine was not mixed together, Pt only received the Men B component of the vaccine. The A,C,W,Y component was not given to the patient.

Current illness

N/A

Medical history

Astigmatism, Hypermetropia, Allergic rhinitis

Other medications

N/A

Allergies

NKDA

Lab data

n/a