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Report #2851919

Received Jul 31, 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
Unknown
Age
Age unknown
State
AZ
Recovered
Unknown
Vaccinated
Jul 22, 2025
Onset
Jul 21, 2025
Days to onset
—
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (ADACEL)SANOFI PASTEURUNKU8503AAOT

Symptoms (1)

Product storage error

Symptom narrative

patient declined to take the vaccine, so the medical assistant returned it to the refrigerator; Initial information received on 28-Jul-2025 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a patient of unknown demographics and is reported patient declined to take the diphtheria-2/tetanus/5 AC pertussis vaccine [Adacel], so the medical assistant returned it to the refrigerator. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 21-JUL-2025, patient declined to take the vaccine, so the medical assistant returned it to the refrigerator (product storage error) and The vaccine was then used by someone on 22-Jul-2025 at 04:34 pm, the patient received an unknown dose of suspect Diphtheria-2/Tetanus/5 AC Pertussis Vaccine Suspension for injection of lot U8503AA and expiry date: 30-Apr-2027 via unknown route in unknown administration site for immunization Action taken was not applicable. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.