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Report #2844643

Received Jun 11, 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
4 yrs
State
WV
Recovered
Unknown
Vaccinated
Jun 10, 2025
Onset
Jun 10, 2025
Days to onset
0
Hospital days
—

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
IPVPOLIO VIRUS, INACT. (IPOL)SANOFI PASTEUR4W1C83MIM / RL
MMRVMEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.2Y019465IM / RL
TDAPTDAP (ADACEL)SANOFI PASTEURN/AU8232AAIM / LL

Symptoms (2)

No adverse eventWrong product administered

Symptom narrative

Tdap was given to patient rather than dTap. No adverse reaction or unusual symptoms occurred.

Current illness

N/A

Medical history

Asthma, Obesity

Other medications

Aerochamber w/FLOWSIGnal, Albuterol Sulfate (2.5 mg/3ml) 0.083% Inhalation Nebulization solution, Symbicort 80-4.5 MCG/ACT Inhalation Aerosol.

Allergies

NKDA

Lab data

N/A