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Report #2854131

Received Aug 14, 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
NC
Recovered
Unknown
Vaccinated
Aug 4, 2025
Onset
Aug 4, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSUNKDX3P7—

Symptoms (2)

Extra dose administeredNo adverse event

Symptom narrative

Patient had two different accounts. Patient received a Boostrix 8/4/25 although she was not due as she had gotten one at another location on 1/1/25. No adverse reaction known at this time.

Current illness

NA

Medical history

N/A

Other medications

NA

Allergies

NKA/NKDA