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Report #2874083

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
9 yrs
State
WA
Recovered
Unknown
Vaccinated
Nov 6, 2025
Onset
Nov 6, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
DTAPIPVDTAP + IPV (KINRIX)GLAXOSMITHKLINE BIOLOGICALSUNKN7GC9IM / RA

Symptoms (2)

No adverse eventWrong product administered

Symptom narrative

I accidentally gave the wrong vaccine to the patient. There were no signs or symptoms.

Current illness

None.

Medical history

None.

Other medications

None.

Allergies

No Known Drug Allergies.

Lab data

None.