Report #2855957

Received Aug 28, 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: Male
Age: 0.2 yrs
State: MO
Recovered: Unknown
Vaccinated: Aug 15, 2025
Onset: Aug 15, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
UNK	VACCINE NOT SPECIFIED (NO BRAND NAME)	UNKNOWN MANUFACTURER	1	U8383AB	IM / LL

Symptoms (3)

Extra dose administeredNo adverse eventWrong product administered

Symptom narrative

Patient received Pentacel and Rotavirus that day. Patient received Quadracel that day as well instead of receiving Vaxneuvance (PCV 15) that day. So pt was double dosed with Dtap & IPV essentially. No side effects reported to the office. Parents did return with patient on 8/20 to receive PCV15 and did not report any adverse reactions. We did want to report the error

Current illness

NONE

Medical history

NONE

Other medications

NONE

Allergies

NONE