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Report #2894973

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
Male
Age
12 yrs
State
TX
Recovered
Unknown
Vaccinated
Apr 17, 2026
Onset
Apr 17, 2026
Days to onset
0
Hospital days

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS4PS4D9IM

Symptoms (2)

Extra dose administeredNo adverse event

Symptom narrative

Vaccine administration error; no known adverse event. Patient received DTaP on 6/30/14, 10/17/2014. Tdap was administered 4/21/2025. The Tdap administered on 04/21/2025 fulfilled the catch-up and adolescent Tdap requirement. Additional Tdap was administered on 4/17/26.

Current illness

no

Medical history

ADHD, asthma

Other medications

Focalin XR 15mg x1 tablet PO every day, Albuterol sulfate 2.5mg/3mL inhale 3mL by nebulization route three times every day

Allergies

no