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Report #2894700

Received Apr 28, 2026

Reports are unverified and do not show that a vaccine caused an event. Full disclaimer

Overview

Sex
Male
Age
11 yrs
State
OH
Recovered
Unknown
Vaccinated
Apr 27, 2026
Onset
Apr 1, 2026
Days to onset
—
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
DTAPDTAP (DAPTACEL)SANOFI PASTEUR63CA25C1IM / LA

Symptoms (2)

No adverse eventProduct administered to patient of inappropriate age

Symptom narrative

There were no adverse events

Current illness

N/a

Medical history

Asthma

Other medications

Singulair 5 MG, Albuterol Sulfate HFA 108 (90 Base) MCG/ACT Inhalation Aerosol, Symbicort 80-4.5 MCG/ACT Inhalation Aerosol, Loratadine 5 MG liquid

Allergies

Seasonal Allergies

Lab data

N/a