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Report #2861678

Received Sep 26, 2025

Office visit
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Overview

Sex
Male
Age
9 yrs
State
—
Recovered
Unknown
Vaccinated
Sep 11, 2025
Onset
Sep 11, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
DTAPIPVDTAP + IPV (QUADRACEL)SANOFI PASTEUR1U7908ABIM / RA

Symptoms (1)

Product administered to patient of inappropriate age

Symptom narrative

Pt was behind on vaccine schedule. He received quadracel vaccine 9/11/2025. He is technically aged out of this vaccine. It is used in 4-6 years old age range.