Report #2877704

Overview

Sex

Male

Age

70 yrs

State

GA

Recovered

Unknown

Vaccinated

—

Onset

—

Days to onset

—

Hospital days

—

Symptoms (2)

Symptom narrative

Intentional Age Prescription by HCP: The patient is 70 years old with no reported adverse event; Initial information received on 03-Dec-2025 regarding an unsolicited valid non-serious case received from a physician. This case involves a 70 years old male patient who had intentional age prescription of DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL] by hcp (healthcare professional) with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On an unknown date the 70 years old patient had intentional age prescription of DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE (Suspension for injection) (lot number; strength; expiry date) by hcp and received a dose of 0.5ml of suspect via intramuscular route in unknown administration site for Immunisation with no reported adverse event (off label use) (latency: same day). Information regarding batch number and expiration date corresponding to the one at time of event occurrence will not be available. Action taken was not applicable.