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Report #2892539

Received Apr 13, 2026

Office visit

Reports are unverified and do not show that a vaccine caused an event. 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)

TypeNameManufacturerDoseLotRoute / Site
MNPMENINGOCOCCAL CONJUGATE (PENMENVY)GLAXOSMITHKLINE BIOLOGICALS15S723IM / 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