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Report #2839526

Received May 5, 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
12 yrs
State
TN
Recovered
Unknown
Vaccinated
Apr 30, 2025
Onset
Apr 30, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS3M77CCIM / LA

Symptoms (2)

Extra dose administeredNo adverse event

Symptom narrative

Patient did not have an adverse reaction

Current illness

none

Medical history

none

Other medications

none

Allergies

none