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Report #2891734

Received Apr 4, 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
78 yrs
State
FL
Recovered
Unknown
Vaccinated
Mar 17, 2026
Onset
Mar 17, 2026
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSN/AFY293IM / LA

Symptoms (2)

Extra dose administeredNo adverse event

Symptom narrative

Shots reports say pt need Boostrix, so given on 3/17/2026. but Patient got Boostrix vaccine on 07/17/2025. spoken with pt on the phone and he is absolutely fine. and aware him that given 2nd dose.

Current illness

NO

Medical history

No

Other medications

NO

Allergies

Atorvastatin

Lab data

no