Report #2866010

Received Oct 15, 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: 43 yrs
State: IA
Recovered: Recovered
Vaccinated: Aug 18, 2025
Onset: Aug 18, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAP	DTAP (INFANRIX)	GLAXOSMITHKLINE BIOLOGICALS	N/A	47Y5M	IM / RA

Symptoms (2)

No adverse eventWrong product administered

Symptom narrative

No Adverse Reaction, patient was given Infanrix on accident instead of the Boostrix

Current illness

N/A

Medical history

Hypertension Hyperlipidemia Chronic Low back pain Elevated fasting blood sugar

Other medications

cyclobenzaprine 10 mg tablet 10 mg PO HS PRN tadalafil 10 mg tablet 10 mg PO QDAY PRN atorvastatin 40 mg tablet fluoxetine 40 mg capsule lisinopril 40 mg tablet

Allergies

fenofibrate (From Tricor) Allergy: facial swelling and itching

Lab data

No Adverse Reaction