Report #2830913

Received Mar 12, 2025

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: 11 yrs
State: ID
Recovered: Unknown
Vaccinated: Jan 2, 2025
Onset: Jan 2, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAP	DTAP (INFANRIX)	GLAXOSMITHKLINE BIOLOGICALS	4	9PT2F	IM / LA
IPV	POLIO VIRUS, INACT. (IPOL)	SANOFI PASTEUR	3	W1C751M	IM / RA
MNQ	MENINGOCOCCAL CONJUGATE (MENQUADFI)	SANOFI PASTEUR	1	48361AA	LA

Symptoms (2)

No adverse eventProduct administered to patient of inappropriate age

Symptom narrative

Vaccines were given to patient on 01/02/25, DTP was administered instead of the Tdap. Patient should have not received the DTP since he had the exceeded the maximum age. Patient tolerated well in office, no adverse reaction and no report as of right now from patient.

Current illness

Not any that we are aware of

Medical history

Attention deficit hyperactivity disorder, autism spectrum disorder, hypertriglyceridemia, irritability and anger

Other medications

Adderall XR 5mg one cap once a day, Fluoxetine 10mg one tab once a day

Allergies

NKDA