Report #2869392

Received Oct 29, 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: 6 yrs
State: NY
Recovered: Unknown
Vaccinated: Oct 28, 2025
Onset: Oct 28, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPHEPBIP	DTAP + HEPB + IPV (PEDIARIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	TC47K	IM / RA

Symptoms (1)

Wrong product administered

Symptom narrative

Patient was given the wrong vaccine. Pt was supposed to have been given DTAP not Pediarix.

Current illness

Pt was in to see PCP 5/12/25 for medical evaluation for possible ADHD.

Medical history

UNK

Other medications

Prescribed medications are Motrin, Tylenol, Ciprofloxacin 0.3% Ophthalmic solution, Fluticasone 27.5 nasal spray, loratadine. Unsure if patient was taking any of these medications at the time of the vaccination.

Allergies

NKA

Lab data

N/A