Report #2872442

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. Full disclaimer

Overview

Sex: Male
Age: 55 yrs
State: CA
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	1	—	SYR / OT

Symptoms (1)

Incorrect route of product administration

Symptom narrative

Patient presented to ED with burns to left fingers, right leg, abdomen/ trunk, and ear after falling in a fire pit on 11/10/25. Per incident report, vaccine was given intravenous route, rather than intended intramuscular route. Prefilled syringe was reportedly mistaken for hydromorphone IV syringe that was resting in the same place as the vaccine.

Current illness

Burn wounds to face, bilateral hands, and right side of body sustained on 11/10/25

Medical history

Type II Diabetes mellitus, chronic wound to right foot

Other medications

Home medications include amlodipine- benazepril 5-40 mg, levetiracetam 500 mg, rosuvastatin 10 mg , ozempic pen

Allergies

Sulfamethoxazole-trimethoprim (Mild rash)