Report #2900610

Received Jun 18, 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: 1.3 yrs
State: WA
Recovered: Unknown
Vaccinated: Jun 9, 2026
Onset: Jun 9, 2026
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAP	DTAP (DAPTACEL)	SANOFI PASTEUR	UNK	4CA37C1	IM / RL
HIBV	HIB (ACTHIB)	SANOFI PASTEUR	4	UK369AA	IM / RL
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	UNK	MN0737	IM / LL

Symptoms (1)

Product preparation issue

Symptom narrative

During review of vaccine administration records, it was identified that the patient's ActHIB vaccine administered on 6/9/26 was reconstituted with sterile water rather than the manufacturer-supplied diluent. The error was recognized after vaccine administration

Current illness

NONE

Medical history

NONE

Other medications

NO KNOWN MEDICATIONS

Allergies

NO KNOWN ALLERGIES

Lab data

N/A