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Report #2830053
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.
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Overview
Sex
Male
Age
17 yrs
State
CA
Recovered
Recovered
Vaccinated
Mar 6, 2025
Onset
Mar 6, 2025
Days to onset
0
Hospital days
—
Vaccines (2)
Type
Name
Manufacturer
Dose
Lot
Route / Site
DTAP
DTAP (INFANRIX)
GLAXOSMITHKLINE BIOLOGICALS
1
9kb9g
IM / LA
TDAP
TDAP (BOOSTRIX)
GLAXOSMITHKLINE BIOLOGICALS
1
x449y
RA
Symptoms (1)
Mobility decreased
Symptom narrative
Per patient, unable to lift
Current illness
none
Medical history
none
Other medications
none
Allergies
none