Report #2836709

Received Apr 17, 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: Age unknown
State: IA
Recovered: Unknown
Vaccinated: Apr 17, 2025
Onset: Apr 17, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPIPV	DTAP + IPV (KINRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	3RT93	RL
FLU3	INFLUENZA (SEASONAL) (FLULAVAL)	GLAXOSMITHKLINE BIOLOGICALS	UNK	G2457	LL
IPV	POLIO VIRUS, INACT. (IPOL)	SANOFI PASTEUR	UNK	W1C831M	SYR / LL

Symptoms (1)

Extra dose administered

Symptom narrative

Patient received 2 doses of Polio. The kindrix and polio seperate. Advise the provider and the patient to moniter for

Current illness

n/a

Medical history

n/a

Other medications

No meds

Allergies

no known allergies