Report #2859293

Received Sep 16, 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: 55 yrs
State: CA
Recovered: Recovered
Vaccinated: Sep 16, 2025
Onset: Sep 16, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAP	DTAP (INFANRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	5ST5M	IM / LA

Symptoms (2)

No adverse eventProduct administered to patient of inappropriate age

Symptom narrative

Patient administered DTAP (Infantrix) at 04:09pm, but no adverse reaction was apparent after dose was given.

Current illness

none

Medical history

none

Other medications

Tylenol 975mg

Allergies

Seasonal allergies