Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Incorrect dose administered, Injection site pruritus, Injection site rash, Rash papular, Vaccination site pruritus
Clinical narrative: papular rash with itchiness on the right deltoid where the ADACEL injection was given, papular rash on the left deltoid where the MENACTRA was given as well as a less prominent rash on the left forearm where the TUBERSOL was administered; papular rash with itchiness on the right deltoid where the ADACEL injection was given; 0.2 ml tubersol administered; Initial information received on 27-Aug-2021 regarding an unsolicited valid non-serious case from a physician via Information (Reference number- 00744329).  This case is link to the 2021SA288844 and 2021SA286572 (same reporter).  This case involves a 11-year-old male patient who had papular rash with itchiness on the right deltoid where the DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL] injection was given, papular rash on the left deltoid where the MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE [MENACTRA] was given as well as a less prominent rash on the left forearm where the TUBERCULIN TEST [TUBERSOL] was administered  pruritus (vaccination site rash, vaccination site pruritus).  The patient's past medical history, medical treatment(s), vaccination(s), concomitant medication(s) and family history were not provided.  On 24-Aug-2021, the patient received a first dose of suspect DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE (Injection, 0.5 ml, lot U6767AA and expiration date: 31-Jul-2022) via intramuscular route in the right deltoid for prophylactic vaccination; a first dose of suspect MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE (0.5 ml, lot U6951AA and expiration date: 06-Jun-2022) via intramuscular route in the left deltoid for prophylactic vaccination and a first dose of TUBERSOL (TUBERCULIN TEST) (Solution for injection, 0.2 mL in total, lot - C5806AA and expiration date:25-Mar-2023) via intradermal route in the left forearm for tuberculin test.  It was a case of drug overdose (overdose, same day latency), as 0.2 ml tuberculin test was administered.  On an unknown date, the patient developed a non-serious papular rash with itchiness on the right deltoid where the DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL] injection was given, papular rash on the left deltoid where the MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE [MENACTRA] was given as well as a less prominent rash on the left forearm where the TUBERCULIN TEST [TUBERSOL] was administered  pruritus (vaccination site rash, vaccination site pruritus) [unknown latency].  It was reported "Doctor states that a patient was seen in her office on 24-Aug-2021 and received injections of ADACEL, MENACTRA, and TUBERSOL during this visit. Doctor states that patient returned to office on 26AUG2021 to have the TUBERSOL results read and the patient's caregiver mentioned rashes that had formed in the areas where the vaccinations were given. The patient had a papular rash with itchiness on the right deltoid where the ADACEL injection was given. The patient also had a papular rash on the left deltoid where the MENACTRA was given as well as a less prominent rash on the left forearm where the TUBERSOL was administered. Doctor stated that she was unsure if this needed to be reported to safety and called Information to be safe. Doctor also asked whether she needed to contact the Vaccine Adverse Event Reporting System as well. Doctor states that the VAERS (vaccine adverse reporting system)website referred her to the package inserts of each product."  No laboratory data reported.  It was not reported if the patient received a corrective treatment.  At time of reporting, the outcome was unknown for all the reported events.