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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.
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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)
Type
Name
Manufacturer
Dose
Lot
Route / Site
TDAP
TDAP (BOOSTRIX)
GLAXOSMITHKLINE BIOLOGICALS
3
M77CC
IM / LA
Symptoms (2)
Extra dose administered
No adverse event
Symptom narrative
Patient did not have an adverse reaction
Current illness
none
Medical history
none
Other medications
none
Allergies
none