Report #2891187

Received Mar 30, 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: 16 yrs
State: ME
Recovered: Recovered
Vaccinated: Dec 15, 2025
Onset: Mar 27, 2026
Days to onset: 102
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAP	DTAP (INFANRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	5KR3R	IM / LA

Symptoms (3)

No adverse eventProduct administered to patient of inappropriate ageWrong product administered

Symptom narrative

No adverse reaction. Patient received the wrong type of vaccine for age. Received Infanrix but should have received Boostrix. for his age. Called State Immunization Program and instructed to have him return for the Boostrix.

Current illness

none

Medical history

none

Other medications

epinephrine as needed for bee stings, Concerta, Escitalopram, Clonidine, Abuterol,

Allergies

Bee stings

Lab data

n/a