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Report #2876155

Received Dec 3, 2025

Office visit
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
4 yrs
State
ID
Recovered
Unknown
Vaccinated
Dec 1, 2025
Onset
Dec 1, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
DTAPIPVDTAP + IPV (KINRIX)GLAXOSMITHKLINE BIOLOGICALS53C423IM / LL

Symptoms (4)

Gait disturbancePain in extremityPyrexiaWrong product administered

Symptom narrative

Patient was given incorrect vaccine. Mother requested a proquad vaccine not a kinrix. Both vaccines were drawn up and ready to administer but mother changed her mind before vaccinating and wrong vaccine was grabbed to be administered. Incorrect vaccine was not found until the next day when inventory was completed and the nurse was notified. The nurse contacted mom and notified her of the error. Mom had called previous to finding the error stating that patient had developed a fever of up to 105, c/o leg pain and difficulty walking.

Current illness

cough x 3 weeks

Medical history

congenital nystagmus and hypermetropia

Other medications

n/a

Allergies

n/a

Lab data

n/a

Prior vaccinations

hives at the injection site where adhesive from bandaid was applied. Macular rash on thighs/groin area that spread to the rest o