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Report #2895097

Received May 1, 2026

Office visit
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
1 yrs
State
PR
Recovered
Unknown
Vaccinated
Apr 30, 2026
Onset
Apr 30, 2026
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS1H4K3SIM / LL

Symptoms (1)

Wrong product administered

Symptom narrative

A 17-month-old male patient came to the vaccination clinic to complete the 15-18 month vaccination schedule . He received the Boostrix Vaccine instead of Infanrix.

Current illness

NO

Medical history

NO

Other medications

none

Allergies

N.K.D.A.

Lab data

The patient was evaluated by the Pediatrician. No abnormalities were identified in their general condition.