Report #2856758

Received Sep 4, 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: AZ
Recovered: Recovered
Vaccinated: Aug 28, 2025
Onset: Aug 28, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
TDAP	TDAP (ADACEL)	SANOFI PASTEUR	UNK	U7869AA	IM / LA

Symptoms (2)

Expired product administeredNo adverse event

Symptom narrative

Member was administered Tdap vaccine on 8/28/25. Vaccine expired on 8/18/25. Member tolerated vaccine well. No adverse reactions were observed or reported.

Current illness

avoidant restrictive food intake disorder

Medical history

avoidant restrictive food intake disorder

Other medications

mirtazapine TABLET - 15mg; guanfacine hcl TABLET - 1 MG; Melatonin OTC

Allergies

No Known Allergies

Lab data

N/A