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Report #2860636

Received Sep 23, 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
68 yrs
State
OR
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: with no reported adverse event; Initial information received on 17-Sep-2025 regarding an unsolicited valid non-serious case received from a physician. This case involves a 68 years old and unknown gender patient who was prescribed with Diphtheria-2/Tetanus/5 Ac Pertussis Vaccine [Adacel] which was an intentional age prescription by health care professional 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 was prescribed with 0.5 ml dose of suspect Diphtheria-2/Tetanus/5 Ac Pertussis Vaccine, Suspension for injection, frequency:once (lot number, expiry date and strength not reported) via intramuscular route in unknown administration site for prophylactic vaccination (immunization) which was an intentional age prescription by health care professional: with no reported adverse event (off label use) (latency: same day). Information on the batch number was requested corresponding to the one at time of event occurrence Reportedly, the patient is 67 years old. per package insert, adacel is approved for use in persons 10through 64 years of age. Action taken was not applicable.