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Report #2898907

Received Jun 3, 2026

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