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Report #2850621

Received Jul 21, 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
Female
Age
4 yrs
State
OR
Recovered
Recovered
Vaccinated
Jul 18, 2025
Onset
Jul 18, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
DTAPIPVDTAP + IPV (QUADRACEL)SANOFI PASTEUR5U8209CBIM / LL
DTAPIPVHIBDTAP + IPV + HIB (PENTACEL)SANOFI PASTEUR6Z008219IM / LL

Symptoms (2)

No adverse eventWrong product administered

Symptom narrative

Provider ordered two combination vaccines(by mistake), newly graduated Medical assistant did not catch that at time of draw up or prior to administration. Provider discussed with parent. No adverse reactions based on that conversation.

Current illness

None known

Medical history

Eczema

Other medications

fluoride 0.5 mg (1.1 mg sodium fluoride) chewable tablet

Allergies

None

Lab data

None