Report #2833071

Received Mar 25, 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: Female
Age: 6 yrs
State: CO
Recovered: Unknown
Vaccinated: Mar 25, 2025
Onset: Mar 25, 2025
Days to onset: 0
Hospital days: —

Vaccines (5)

Type	Name	Manufacturer	Dose	Lot	Route / Site
HEP	HEP B (ENGERIX-B)	GLAXOSMITHKLINE BIOLOGICALS	3	47D3S	IM / LA
HEPA	HEP A (HAVRIX)	GLAXOSMITHKLINE BIOLOGICALS	2	DN273	IM / LA
IPV	POLIO VIRUS, INACT. (IPOL)	SANOFI PASTEUR	3	Y1A201M	IM / RA
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	2	Y013579	SC / LA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	3	NZ552	IM / RA

Symptoms (1)

Wrong product administered

Symptom narrative

Patient was in clinic with her older sister (age 8), and both needed tetanus shots. When vaccinating this patient, RN administered the wrong tetanus shot. Patient should have received DTaP, but received Tdap. Patient will need to repeat the dose with DTaP. All other vaccines in this visit were administered correctly.

Medical history

None

Other medications

None

Allergies

None