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Report #2853811

Received Aug 12, 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
12 yrs
State
CA
Recovered
Unknown
Vaccinated
Aug 12, 2025
Onset
Aug 12, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSUNKh4279IM / LA

Symptoms (2)

Extra dose administeredNo adverse event

Symptom narrative

No adverse side effects experienced on site. Patient was brought by Father to receive back to school vaccine on Tdap on 08/11/2025 3:44pm. As a safety practice, I verified with website before proceeded. During the process, I noticed that website experienced lagging issues-need to log in a couple of times and enter patient's info a few times as well. When the page finally loaded, I reviewed patient's record and only saw DTap for the record (last one was 03/29/2017). As a result, I proceeded to the vaccination room. While meeting up with patient and her dad, I verified patient's date of birth and what shot was given--Tdap. After vaccination, I educated what side effects to expect and how to cope with them. At this time, the dad brought out patient's yellow vaccination card and requested to update the vaccine record. When I was about to fill the vaccine record, I saw that the patient already had Tdap Vaccine at her primary dr. office on 08/13/2024. I immediately let her Father know and explained that this record wasn't listed otherwise I would not give another one to her. While I was filling in the card, I asked if patient has a different name or profile. Dad denied it. Then I told the dad that there might be a glitch that this one wasn't logged. I told the patient and her dad that for sure that she is protected now. The father replied, "this is what we want." As I came back to check the website again, the website was lagging still. On 08/12/2025, I logged in to website without any issues and now I saw two Tdap vaccines history dated on 08/13/2024 and 08/11/2025. I then contacted patient's doctor to inform them this incidence @ 12:01pm.

Current illness

n/a

Medical history

n/a

Other medications

n/a

Allergies

n/a