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Report #2864201

Received Oct 8, 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
4 yrs
State
NJ
Recovered
Unknown
Vaccinated
Sep 30, 2025
Onset
Sep 30, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (ADACEL)SANOFI PASTEURUNKUA252AAOT / RA

Symptoms (2)

No adverse eventProduct administered to patient of inappropriate age

Symptom narrative

administering ADACEL to a 4-year old patient with no reported adverse event; Initial information received on 01-Oct-2025 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 4 years old male patient who received diphtheria-2/tetanus/5 AC pertussis vaccine [Adacel] with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included Influenza Vaccine; Polio Vaccine ; and Varicella Zoster Vaccine all for Immunisation. On 30-Sep-2025, a 4 years old patient received 0.5 ml of diphtheria-2/tetanus/5 AC pertussis vaccine Suspension for injection (strength- standard, expiry date- 30-JUN-2026 and lot UA252AA) once via intramuscular route in the right deltoid for Immunization with no reported adverse event (product administered to patient of inappropriate age) (latency- same day). Action taken was not applicable. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.

Other medications

INFLUENZA VACCINE; POLIO VACCINE; VARICELLA VACCINE