Report #2880603

Received Jan 5, 2026

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: 14 yrs
State: MI
Recovered: Unknown
Vaccinated: Nov 19, 2025
Onset: Nov 19, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPIPV	DTAP + IPV (QUADRACEL)	SANOFI PASTEUR	UNK	U8009AB	IM

Symptoms (1)

Wrong product administered

Symptom narrative

patient was given a quadracel by staff instead of separate DTAP and Polio vaccines

Current illness

Medical history

Other medications

norethindrone ac-eth estradiol 1-20mg-mcg 1 tab daily

Allergies

no allergies