Report #2876044

Received Dec 2, 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: Female
Age: 56 yrs
State: FL
Recovered: Unknown
Vaccinated: Dec 1, 2025
Onset: Dec 1, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	H4K3S	IM / LA

Symptoms (2)

No adverse eventWrong product administered

Symptom narrative

PATIENT RECEIVED WRONG VACCINE. PATIENT SHOULD HAVE RECEIVED A SECOND DOSE OF HEP-LISAV-B AND RECEIVED A SECOND DOSE OF BOOSTRIX INSTEAD. PATIENT WAS CONTACTED NEXT DAY AND EXPRESSED FEELING WELL AND WITH NO ADVERSE REACTION

Current illness

NONE

Other medications

LOSARTA, ATORVASTATIN, HYDROXYCHLOROQUINE

Allergies

NNA