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Report #2887404

Received Mar 2, 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
Male
Age
69 yrs
State
VA
Recovered
Recovered
Vaccinated
Feb 26, 2026
Onset
Feb 26, 2026
Days to onset
0
Hospital days

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSN/AX357EIM / RA

Symptoms (1)

Wrong product administered

Symptom narrative

Provider ordered B-12 injection for the patient. The Medical Assistant removed TDAP (Boostrix) from the refrigerator thinking it was the B-12 and proceeded to give it to the patient. It wasn't until another patient arrived for a B-12 injection and a coworker mentioned that B-12 is not refrigerated that she realized her error. She immediately reported the incident to management. The provider and patient were notified. The patient reported no adverse side effects and the TDAP vaccination was documented in the chart. The Medical Assistant is receiving additional education and we are implementing extra steps to ensure patients are receiving correct medications and vaccines.

Current illness

N/A

Medical history

seasonal allergies, atrial fibrillation, CAD, Hyperlipidemia, History of skin cancer, History of DVT

Other medications

Atorvastatin Calcium, Warfarin Sodium

Allergies

trees, grass

Lab data

N/A