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Report #2872350
Received Nov 12, 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.
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Overview
Sex
Female
Age
61 yrs
State
UT
Recovered
Unknown
Vaccinated
Nov 11, 2025
Onset
Nov 11, 2025
Days to onset
0
Hospital days
—
Vaccines (1)
Type
Name
Manufacturer
Dose
Lot
Route / Site
TDAP
TDAP (BOOSTRIX)
GLAXOSMITHKLINE BIOLOGICALS
N/A
H4K3S
IM / LA
Symptoms (1)
Wrong product administered
Symptom narrative
Tdap given in error when influenza was requested
Current illness
UNKNOWN
Medical history
UNKNOWN
Other medications
UNKNOWN
Allergies
NKA
Lab data
UNKNOWN