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Report #2898093

Received May 27, 2026

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

Overview

Sex
Female
Age
17 yrs
State
NV
Recovered
Recovered
Vaccinated
May 22, 2026
Onset
—
Days to onset
—
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
UNKVACCINE NOT SPECIFIED (OTHER)UNKNOWN MANUFACTURER1499j9IM / RA

Symptoms (2)

No adverse eventProduct preparation issue

Symptom narrative

No adverse event. this is a combination, 2 -component vaccine- 1) prefilled syringe, containing Men B component; should be mixed with 2) vial of MCv4 component. Nurse incorrectly administered only the Men B component in the syringe, and did not mix it with MCV4 component in the vial. Patient received an incomplete vaccine- only Men b

Medical history

asthma

Lab data

none