Report #2894950

Received Apr 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: Female
Age: 49 yrs
State: MI
Recovered: Recovered
Vaccinated: Apr 28, 2026
Onset: Apr 28, 2026
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAP	DTAP (INFANRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	724A7	IM / RA

Symptoms (1)

Wrong product administered

Symptom narrative

Patient was administered wrong vaccine well being seen for their health maintenance check up. Pt was contacted about wrong vaccination given. Pt was informed that it was an pediatric vaccine and what possible symptoms might occur.

Current illness

No illnesses was being seen for yearly health check up

Medical history

Migraines, Perimenopause

Other medications

Bupropion HCL oral, Cyanocobalamin, Vitamin B-12, Metformin, Maltrexone

Allergies

NKA

Lab data

N/A