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Report #2862049

Received Sep 29, 2025

Office visit
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
11 yrs
State
NY
Recovered
Not recovered
Vaccinated
Sep 26, 2025
Onset
Sep 29, 2025
Days to onset
3
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS1PX3P7IM / RA

Symptoms (3)

Lip swellingSensory disturbanceSwelling face

Symptom narrative

mother states he woke up on Monday and his lips are swollen. Under his right eye and right side of his nose are swollen and his face feels tight. No fever at this time. She gave him ibuprofen and he has an appt with his doctor appt today.

Current illness

cold

Medical history

none

Other medications

had taken a 5 day supply of prednisone and had been off 5 days prior to the vaccine

Allergies

nka