Report #2830704

Received Mar 11, 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: 0.3 yrs
State: MA
Recovered: Recovered
Vaccinated: Mar 4, 2025
Onset: Mar 4, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPIPVHIB	DTAP + IPV + HIB (PENTACEL)	SANOFI PASTEUR	1	—	IM / LL

Symptoms (1)

Single component of a two-component product administered

Symptom narrative

Incomplete administration of Pentacel- Hib not given in administration. When preparing vaccine only 1 part of the 2 parts reconstitute vaccine was prepared and given to patient.

Current illness

None

Medical history

None

Other medications

None

Allergies

NKA

Lab data

PCP consulted, pt scheduled for follow up appointment to received Hib vaccine.