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Report #2840400

Received May 12, 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
Unknown
Age
52 yrs
State
LA
Recovered
Unknown
Vaccinated
Mar 6, 2025
Onset
Apr 29, 2025
Days to onset
54
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSUNK—OT
TDAPTDAP (ADACEL)SANOFI PASTEURUNKU8122AAOT / RA

Symptoms (2)

Extra dose administeredNo adverse event

Symptom narrative

administration of ADACEL outside of the recommended interval with no reported adverse event; Initial information received on 02-May-2025 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 52 years old and unknown gender patient for whom diphtheria vaccine toxoid, pertussis vaccine acellular 3-component, tetanus vaccine toxoid (Boostrix) and diphtheria-2/tetanus/5 AC pertussis vaccine [Adacel], administration of adacel outside of the recommended interval with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 29-Apr-2025, the patient received an unknown dose (0.5ml) of diphtheria-2/tetanus/5 AC pertussis vaccine; Suspension for injection with unknown strength (lot U8122AA with expiry date 30-APR-2026) via intramuscular route in the right arm for Immunization and On 06-Mar-2025, the patient received an unknown dose of suspect diphtheria vaccine toxoid, pertussis vaccine acellular 3-component, tetanus vaccine toxoid not produced by Sanofi Pasteur lot number not reported via unknown route in unknown administration site for Prophylactic vaccination (Immunisation) On 29-APR-2025 the patient developed administration of adacel outside of the recommended interval with no reported adverse event (extra dose administered). (latency: same day). Action taken was not applicable. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.