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Report #2894240

Received Apr 24, 2026

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
17 yrs
State
AZ
Recovered
Recovered
Vaccinated
Sep 25, 2025
Onset
Sep 1, 2025
Days to onset
Hospital days

Vaccines (7)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUNKunknownIM / UN
HEPHEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSUNKunknownIM / UN
HEPAHEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSUNKunknownIM / UN
HPV9HPV (GARDASIL 9)MERCK & CO. INC.UNKunknownIM / UN
MENBMENINGOCOCCAL B (BEXSERO)NOVARTIS VACCINES AND DIAGNOSTICSUNKunknownIM / UN
MMRMEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.UNKunknownIM / UN
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSUNKunknownIM / UN

Symptoms (1)

Extra dose administered

Symptom narrative

Department of Health and agency medical team have performed comprehensive reviews of medical and immunization records, which revealed substantial gaps in documentation, including missing immunization records from September through October 2025. Agency's medical team obtained complete and verified records from the State Immunization Registry and associated primary care provider (PCP) offices to address these deficiencies. During the reconciliation process, discrepancies in documentation were identified. Following DoH's final review of all updated and verified records, this child is identified as having received immunizations in error. Records and visits were missing for dates between September and October 2025. As a result, immunization documentation was incomplete and vaccine records were not shared with other providers when administering vaccines. The errors were determined to be the result of the PCP's failure to adhere to program requirements, specifically the requirement to verify immunization history at each encounter prior to vaccine administration. Proper review of the State Immunization Registry would have ensured accurate identification of vaccines due and appropriate timing for administration. Child received multiple doses of Hep A, Hep B, Influenza, MMR, Meningococcal and Varicella. Immunizations that were not necessary.

Current illness

None

Medical history

Chronic rhinitis

Other medications

None

Allergies

None

Lab data

None