Report #2891877

Received Apr 6, 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: 80 yrs
State: —
Recovered: Recovered
Vaccinated: Mar 20, 2026
Onset: Mar 20, 2026
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	—	—

Symptoms (2)

No adverse eventWrong product administered

Symptom narrative

Patient was supposed to receive Boostrix but HyperTET was pulled and administered by mistake. Boostrix was eventually administered. No reported negative outcome with patient

Current illness

Afib RVR, light headedness, frequent falls, prostate ca

Medical history

prostate ca, afib

Other medications

Losartan 100mg PO QDay, Metoprolol succinate 25 mg PO QDAY, Omeprazole 20mg PO Qday, Calcium 500 PO Qday, Vit B-12 500mcg PO Qday, Abiraterone 1000mg QDAY, Carbidopa 25mg-levodopa 100mg 1tab Qday, Cetirizine 10 mg tablet Q day, latanoprost

Allergies

Wasp and bee venom

Lab data

None indicated