Report #2848176

Received Jul 2, 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: TX
Recovered: Recovered
Vaccinated: Jun 12, 2025
Onset: Jun 12, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAP	DTAP (DAPTACEL)	SANOFI PASTEUR	4	3CA20C1	IM / RL
HIBV	HIB (ACTHIB)	SANOFI PASTEUR	4	UK148AA	IM / LL
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	4	LN4929	IM / LL

Symptoms (1)

Product preparation error

Symptom narrative

Patient received ACTHIB but it was not mixed with the diluent that came in the box. Instead it was mixed with diluent used to mix MMR, Varicella and Proquad. Sterile diluent used was from MERCK manufacturing company. Lot # 2053179 exp. 5/2/2027.

Current illness

NONE

Medical history

NONE

Other medications

NONE

Allergies

NONE

Lab data

NONE