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Report #2894663

Received Apr 28, 2026

Office visit

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

Overview

Sex
Male
Age
11 yrs
State
TX
Recovered
Recovered
Vaccinated
Apr 28, 2026
Onset
Apr 28, 2026
Days to onset
0
Hospital days
—

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
HPV9HPV (GARDASIL 9)MERCK & CO. INC.1z002399IM / LA
MNQMENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICS1t7p7yIM / RA
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS14ya34IM / RA

Symptoms (2)

ErythemaPruritus

Symptom narrative

right upper arm deltoid, erythema in circular shape, mild itchiness

Current illness

no

Medical history

no

Other medications

Right upper arm deltoid erythema in circular shape, mild itchiness

Allergies

no

Lab data

na