Report #2890345

Received Mar 23, 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: 3 yrs
State: NY
Recovered: Recovered
Vaccinated: Mar 16, 2026
Onset: Mar 16, 2026
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPIPVHIB	DTAP + IPV + HIB (PENTACEL)	SANOFI PASTEUR	4	UK196AA	IM / RL
FLU3	INFLUENZA (SEASONAL) (FLUARIX)	GLAXOSMITHKLINE BIOLOGICALS	N/A	2NG23	IM / LL
HEPA	HEP A (HAVRIX)	GLAXOSMITHKLINE BIOLOGICALS	2	5JA57	IM / LL

Symptoms (1)

Product preparation issue

Symptom narrative

The patient only received the HIB portion of the DTap+IPV+Hib due to it being mixed with sterile diluent, and not the 2nd portion of the vaccine.

Current illness

Unknown

Medical history

Unknown

Other medications

N/A

Allergies

NKDA

Lab data

N/A