Sex: F
Vaccine: HPVX, MEN, MENB
Symptoms: Extra dose administered, Induration, Skin mass, Wrong product administered
Clinical narrative: hard lump under her skin" on her arm; hard lump under her skin" on her arm; who accidentally received Trumenba A and B together last Thursday; This is a spontaneous report received from a Consumer or other non HCP from medical information team, Program ID.  A 12-year-old female patient received meningococcal group b Rlp2086 (TRUMENBA), in Jul2024 as dose number unknown, single (Batch/Lot number: unknown), in arm for immunisation; meningococcal vaccine a/c/y/w (MENINGOCOCCAL VACCINE A/C/Y/W), in Jul2024 as dose number unknown, single), in arm for immunisation; hpv vaccine (HPV VACCINE), in Jul2024 as dose number unknown, single) for immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: LIMB MASS (non-serious), SKIN MASS (non-serious) all with onset Jul2024, outcome "unknown" and all described as "hard lump under her skin" on her arm"; ACCIDENTAL OVERDOSE (non-serious) with onset Jul2024, outcome "unknown", described as "who accidentally received Trumenba A and B together last Thursday".  Additional information: Product: TRUMENBA Caller was a patient's mother. She stated that her 12 year old daughter went to the pediatrician on Thursday and received both meningitis vaccines in the same arm, which were clarified as the "Meningitis ACWY" and Trumenba. She also stated that her daughter received the HPV vaccine that same day although it was not requested and that the Tdap vaccine was supposed to be administered but "for whatever reason they didn't" and she's supposed to go back to receive her Tdap dose. She inquired if it was okay to have the two meningitis vaccines administered in the same arm? If there's anything that she needs to worry about with the administration of the vaccines in the same arm? And what information there was on administering Trumenba who is under 16? (As she stated "[Trumenba] isn't supposed to be administered to anyone under 16)" She provided that her daughter has a "hard lump under her skin" on her arm which she does not describe as swelling. She stated that it's been 5 days since she received the vaccines and she had 2 lumps, she's not sure which site correlated with the meningitis ACWY vaccine compared to the Trumenba administration site. The caller stated that the other spot was "not so hard" any longer. She also inquired if there was any information regarding a lump appearing after administration? Agent noted that there wasn't further safety information on the co-administration of the HPV or Tdap vaccines but stated that this information was available on-line if she wanted to read through it. Furthermore, agent reviewed the different side effects looked at within the co-administration information and stated that there was no mention specifically of a lump being reported from that clinical trial. During the call, it was noted that Pfizer cannot make any sort of specific treatment recommendations for patients and the caller was referred to her child's pediatrician. Concomitant Vaccine Administration. Agent noted that per the FDA, Trumenba was currently approved in individuals 10 through 25 years old. Agent discussed that there was no information regarding the administration of the 2 vaccines in the same arm, but went over the information regarding concomitant vaccine administration. Agent stated that there was no information within our Pfizer MI resources and referred the caller to her child's pediatrician, and also noted that other resources for information such as the CDC or the manufacturer of the Tdap vaccine.  Batch/lot number is not provided, and it cannot be obtained.