Report #2849297

Received Jul 10, 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: 9 yrs
State: MN
Recovered: Unknown
Vaccinated: Jul 9, 2025
Onset: Jul 9, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPHEPBIP	DTAP + HEPB + IPV (PEDIARIX)	GLAXOSMITHKLINE BIOLOGICALS	1	77J49	SYR / RA

Symptoms (2)

No adverse eventProduct administered to patient of inappropriate age

Symptom narrative

PT EXCEED AGE LIMIT FOR PEDIARIX, PT TOLERATED VACCINE WELL WITH NO REACTION TO VACCINE. PT'S PARENT CALLED AND INFORMED WILL NEED TO RETURN TO CLINIC TO RECEIVED CORRECT VACCINE.

Current illness

NONE

Medical history

NONE

Other medications

NONE

Allergies

NKDA