Report #2890171

Received Mar 20, 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: 11 yrs
State: RI
Recovered: Recovered
Vaccinated: Jan 13, 2026
Onset: Jan 13, 2026
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAP	DTAP (INFANRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	JP227	IM / RA

Symptoms (2)

No adverse eventWrong product administered

Symptom narrative

Pt received infanrix, should have received Boostrix. no adverse response to incorrect dose. SHOULD PATIENT RECEIVE ADDITIONAL DOSE AT THIS TIME

Current illness

N/A

Medical history

N/A

Other medications

N/A

Allergies

Amoxicillin

Lab data

n/a