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Report #2861225

Received Sep 25, 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
108 yrs
State
OH
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 108 years old/ Adacel is approved for use in persons 10 through 64 years of age with no adverse event; Initial information received on 23-Sep-2025 regarding an unsolicited valid non-serious case received from a physician. This case involves a 108 years old and unknown gender patient who was prescribed with Diphtheria-2/Tetanus/5 Ac Pertussis Vaccine [Adacel] which is for people through 64 years of age with no adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On an unknown date, a 108 years old patient received prescription for dose of 1 DF (dosage form) of suspect Diphtheria-2/Tetanus/5 Ac Pertussis Vaccine Suspension for injection (lot number, strength and expiry date-unknown) for helping protect against tetanus, diphtheria, and pertussis dis (Immunisation) which is for people through 64 years of age with no adverse event (off label use) (latency-same day). Information on the batch number was requested corresponding to the one at time of event occurrence. Action taken was not applicable.