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Report #2893902

Received Apr 23, 2026

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

Overview

Sex
Male
Age
12 yrs
State
WY
Recovered
Recovered
Vaccinated
Apr 22, 2026
Onset
Apr 22, 2026
Days to onset
0
Hospital days
—

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
HPV9HPV (GARDASIL 9)MERCK & CO. INC.1Z008880IM / LA
MNQMENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICS1T7X22IM / LA
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS5292H2IM / RA

Symptoms (1)

Refusal of vaccination

Symptom narrative

Client's parent consented for only TdaP vaccination. Doses of HPV & Menveo given at same school clinic--no parental consent given.

Current illness

None per vaccine screening form.

Medical history

None per vaccine screening form.

Other medications

Unknown

Allergies

Unknown

Lab data

None.