Report #2880919

Received Jan 7, 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: 6 yrs
State: MI
Recovered: Recovered
Vaccinated: Jan 6, 2026
Onset: Jan 6, 2026
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPHEPBIP	DTAP + HEPB + IPV (PEDIARIX)	GLAXOSMITHKLINE BIOLOGICALS	4	TE499	IM / LA

Symptoms (1)

Wrong product administered

Symptom narrative

Gave Pediarix as 4th dose in series. Dose counted in registry, medical orders state to only be used for 1st, 2nd, or 3rd dose.

Current illness

None

Medical history

None

Other medications

None

Allergies

Adhesive (blisters)

Lab data

None