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Report #2894950

Received Apr 30, 2026

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

TypeNameManufacturerDoseLotRoute / Site
DTAPDTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALS1724A7IM / 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