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Report #2848245

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
4 yrs
State
CA
Recovered
Unknown
Vaccinated
May 20, 2021
Onset
May 20, 2025
Days to onset
1461
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
DTAPIPVDTAP + IPV (KINRIX)GLAXOSMITHKLINE BIOLOGICALSUNK42Y93IM / RA

Symptoms (2)

No adverse eventProduct storage error

Symptom narrative

Vaccine experienced excursion temperature change of 29.2 degrees Fahrenheit for 30mins during inventory check, no symptoms reported, patient will be called back for revaccination per authority directions.