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Report #2898907

Received Jun 3, 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
11 yrs
State
IN
Recovered
Unknown
Vaccinated
May 25, 2025
Onset
May 25, 2026
Days to onset
365
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
MENBMENINGOCOCCAL B (TRUMENBA)PFIZER\WYETH1LX2636IM / LA
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS1H9P77IM / RA

Symptoms (2)

No adverse eventWrong product administered

Symptom narrative

Patient was given Trumenba vaccine Meningococcal B vaccine Lot LX26636 expires 01/31/2017 versus MenQuadfi Meningococcal (Groups A, C, Y, W) conjugate Vaccine Lot U8599AA expires. 10/31/2028 No adverse event occurred.

Current illness

None

Medical history

None

Other medications

None

Allergies

NKA

Lab data

None.