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Report #2879700

Received Dec 26, 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
1.5 yrs
State
—
Recovered
Unknown
Vaccinated
Dec 16, 2025
Onset
Dec 16, 2025
Days to onset
0
Hospital days
—

Vaccines (4)

TypeNameManufacturerDoseLotRoute / Site
DTAPIPVDTAP + IPV (KINRIX)GLAXOSMITHKLINE BIOLOGICALSUNK——
HEPAHEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSUNK——
HIBVHIB (PEDVAXHIB)MERCK & CO. INC.UNK——
PNC20PNEUMO (PREVNAR20)PFIZER\WYETHUNK——

Symptoms (2)

CoughExtra dose administered

Symptom narrative

Event Description: The patient presented for an 18-month well visit accompanied by parents and siblings. An RN retrieved vaccines from the refrigerator and verbally read them to a second RN, who cross-checked against the provider?s orders. Vaccines were prepared and administered. The RN retrieving vaccines unintentionally selected DTaP-IPV instead of DTaP alone, resulting in administration of an additional IPV dose. The error was not recognized at the time of administration. Discovery and Notification: The error was identified later, on 12/19 during vaccine reconciliation when the documented lot number did not match the DTaP product but corresponded to DTaP-IPV. The vaccine coordinator reviewed the discrepancy with involved RNs and notified the site manager. The patient?s provider was consulted on 12/23 and confirmed no clinical harm or intervention was required. On 12/23, the clinical supervisor and RN notified the patient?s mother by phone, explained the error, and provided reassurance. Outcome and Follow-Up ? Extra IPV dose administered unintentionally ? Family notified once error confirmed, mom stated at time of call that all 3 kids had cough, patient was experiencing side effects of either vaccines and/or virus. ? Incident reported internally and to the state Contributing Factors / Prevention ? Similar labeling/packaging of DTaP and DTaP-IPV ? Need for reinforced visual vial verification ? Review of vaccine storage and double-check procedures underway

Allergies

NKA