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Report #2888918

Received Mar 13, 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
4 yrs
State
CA
Recovered
Unknown
Vaccinated
Mar 13, 2026
Onset
Mar 13, 2026
Days to onset
0
Hospital days

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
DTAPDTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALS547Y5MIM / OT

Symptoms (2)

Extra dose administeredNo adverse event

Symptom narrative

Administered on Right Deltiod. I went to prep immunizations and grabbed the Dtap then realizing we had Kinrix in stock i did not place the Dtap back in the fridge and proceeded to get the rest of the medications and proceed with preparations. Then after i administered Immunizations, did not get the chance to document until after done with patients around 12:10 then i began to document and realized that the Dtap i had gotten first was in my tray as an extra dose since that was the last one i had to document i then had to clock out for lunch. As soon as i clocked out i went to my supervisor and notified her since she was on lunch also. I needed to be advised. Provider had previously ordered all individuals but considering patient i asked mother if it was okay for combos for less sticks for patient since she already had previous dosages, and no adverse reactions. Then after i asked provider if per mom we can reorder them in combos. In between the change of the individuals and combos i made the mistake and gave the extra dose of Dtap how i mentioned i had gotten the individual first did not put it back in the fridge after i grabbed the Kinrix.

Current illness

NONE

Medical history

NONE

Other medications

Saline nasal spray 0.65%

Allergies

NKDA

Lab data

N/A