Report #2874047

Received Nov 21, 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: 1.8 yrs
State: TN
Recovered: Recovered
Vaccinated: Nov 20, 2025
Onset: Nov 20, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPHEPBIP	DTAP + HEPB + IPV (PEDIARIX)	GLAXOSMITHKLINE BIOLOGICALS	4	TE499	IM / LL

Symptoms (1)

Wrong product administered

Symptom narrative

Pt was due for DTaP only and I administered the wrong vaccine. DTaP, Hep B, Polio combined vaccine was administered. Pt is due to come back in 3 months and he will receive the correct vaccination on that day.

Current illness

none

Medical history

none

Other medications

none

Allergies

none

Lab data

none