Report #2876503

Received Dec 5, 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: 11 yrs
State: NC
Recovered: Recovered
Vaccinated: Dec 3, 2025
Onset: Dec 3, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAP	DTAP (INFANRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	73SX2	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLULAVAL)	GLAXOSMITHKLINE BIOLOGICALS	UNK	4F2AJ	IM / RA
MNQ	MENINGOCOCCAL CONJUGATE (MENVEO)	NOVARTIS VACCINES AND DIAGNOSTICS	UNK	AH723	IM / LA

Symptoms (2)

Pain in extremityWrong product administered

Symptom narrative

Patient was given a Dtap (Infanrix) instead of Tdap (Boostrix) at well child visit on 12/3/2025. Mother notified and there has been no reactions/side effects other than soreness in left arm

Current illness

Unknown

Medical history

Asthma

Other medications

unknown

Allergies

Amoxicillin- rash