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Report #2884418

Received Feb 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
22 yrs
State
NC
Recovered
Unknown
Vaccinated
Feb 5, 2026
Onset
Feb 5, 2026
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSUNKF9K3LIM / RA

Symptoms (2)

Extra dose administeredNo adverse event

Symptom narrative

Pt was administered Tdap on 1/21/26 while in clinic. It was not entered into clinic health record but was entered into immunization registry. Provider order the vaccine, MA did not pull immunization registry report prior to pulling vaccine. TDAP was pulled and administered on 2/5/2026. After pt left the clinic, MA proceeded to enter in immunization registry and realized the vaccine had been administered on 1/21/2026. Provider and pt were made aware. No side effects noted while in clinic. MA has been educated on the importance of documentation in the health record and also pulling immunization registry prior to administration of all vaccines.

Current illness

none

Medical history

none

Other medications

Ferrous Gluconate 324MG tablet, Promethazine 25MG tablet,

Allergies

NKDA