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Report #2840255

Received May 9, 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
1.3 yrs
State
WI
Recovered
Unknown
Vaccinated
Apr 10, 2025
Onset
Apr 10, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
DTAPIPVHIBDTAP + IPV + HIB (PENTACEL)SANOFI PASTEURUNKUK199AAIM / LL
PNC20PNEUMO (PREVNAR20)PFIZER\WYETHUNKLK6653IM / RL

Symptoms (3)

No adverse eventProduct preparation issueWrong technique in product usage process

Symptom narrative

Patient given Pentacel vaccine. Which consist of DTap, IPV & Hib. Patient did not receive Hib portion of vaccine. Manufacturer of vaccine Sanofi Paseur consulted. Writer instructed to give HIB portion of vaccine with 0.4% Chloride, no time frame recommended. Patient has no known signs or symptoms, or adverse reactions over the course of incident. Patients' legal guardian will be notified of diversion and instructed to bring patient into clinic to receive HIB portion of vaccine Staff retrained on how to properly administer vaccine to prevent future mistakes.

Current illness

None known

Medical history

Hydronephrosis, left Infant of mother with gestational diabetes mellitus (GDM) Kidney abnormality of fetus on prenatal ultrasound (HHS-HCC) Multicystic dysplastic kidney (MCDK)

Other medications

cetirizine (ZYRTEC) 1 mg/mL syrup Take 2.5 mL by mouth once daily clotrimazole (LOTRIMIN) 1 % cream Apply topically hydrocortisone 2.5 % ointment Apply topically 2 (two) times daily mupirocin (BACTROBAN) 2 % ointment Apply 1 g topical

Allergies

No known allergies

Lab data

None known