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Report #2829881

Received Mar 6, 2025

Office visit
A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex
Male
Age
0.5 yrs
State
NH
Recovered
Unknown
Vaccinated
Feb 20, 2025
Onset
Feb 20, 2025
Days to onset
0
Hospital days
—

Vaccines (4)

TypeNameManufacturerDoseLotRoute / Site
DTAPHEPBIPDTAP + HEPB + IPV (PEDIARIX)GLAXOSMITHKLINE BIOLOGICALS3D252FIM / LL
FLU3INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR1UT8468JAIM / RL
HIBVHIB (ACTHIB)SANOFI PASTEUR3UK169ACIM / RL
PNC20PNEUMO (PREVNAR20)PFIZER\WYETH3LC5484IM / LL

Symptoms (1)

Product preparation issue

Symptom narrative

It was discovered on 2/21/25 that PT only received the sterile solution portion of the Hib vaccine on 2/20/25 around 10AM This was verified via immunization sheet as it has only the sterile solution sticker. RN noticed the count was off for the Hib vaccine (dilutent vs powder) and discussed with MA, and she checked the completed immunizations vaccine folder and found this patients immunizations sheet and confirmed with myself, and someone else the following work day. The event was discussed with Quality, the ordering Provider and the manufacturer and it was recommended that patient be vaccinated with a Hiberix properly. The event was discussed with mom, her concern was to make sure that patient was not vaccinated twice. We assured mom that our documented immunization sheets proved that patient did not recieve the activated vaccination, just the sterile solution. Mom made a nurse visit for 2/26/25 and patient recieved the activated immunization.

Current illness

None

Medical history

None

Other medications

None

Allergies

None

Lab data

No medical tests or laboratory results needed.