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Report #2856963

Received Sep 5, 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
Unknown
Age
67 yrs
State
—
Recovered
Unknown
Vaccinated
—
Onset
—
Days to onset
—
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (ADACEL)SANOFI PASTEURUNK—OT

Symptoms (2)

No adverse eventProduct administered to patient of inappropriate age

Symptom narrative

intentional age prescription by hcp: the patient is 67 years old per package insert, adacel is approved for use in persons 10 through 64 years of age with no reported adverse event; Initial information received on 03-Sep-2025 regarding an unsolicited valid non-serious case received from a physician. This case involves intentional age prescription by hcp (healthcare professional): the patient is 67 years old per package insert, Diphtheria-2/Tetanus/5 Ac Pertussis Vaccine [Adacel] is approved for use in persons 10 through 64 years of age with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On an unknown date, the patient had intentional age prescription by hcp of dosage 0.5 ml suspect Diphtheria-2/Tetanus/5 Ac Pertussis Vaccine Suspension for injection (lot number, expiry not reported) via intramuscular route in unknown administration site as helps protect against tetanus, diphtheria, and pertussis with no reported adverse event (off label use) (latency: same day). Action taken: not applicable.