Report #2853273

Received Aug 8, 2025

Office visit

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: IN
Recovered: Not recovered
Vaccinated: Aug 4, 2025
Onset: Aug 5, 2025
Days to onset: 1
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPIPV	DTAP + IPV (KINRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	3RT93	IM / LA

Symptoms (4)

Injection site erythemaInjection site rashInjection site warmthPruritus

Symptom narrative

Tuesday, Aug. 5th, 2025 - Developed redness & rash around 1100 AM @ site of injection Tuesday, Aug. 5th, 2025 - Developed warmth @ injection site approximately 1900. Patient reports itching. Patient eating & sleeping fine. Patients mother reports she is going to take patient to convenient care. Patients primary care provider is Dr. 8/6/2025 - Spoke with FNP regarding patient's visit to facility. Advised he is deeming it a vaccine reaction. Requested records be faxed to office to attach to VAERS report. 8/7/2025 - Per facility staff, charting is not complete on patient. Requested be made aware we would like to have notes soon to submit VAERS report. Note being sent.

Current illness

None

Medical history

Asthma - dx @ 1 yr.

Other medications

None

Allergies

None