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Report #2896452

Received May 13, 2026

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

Overview

Sex
Female
Age
81 yrs
State
VA
Recovered
Recovered
Vaccinated
May 5, 2026
Onset
May 5, 2026
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSN/AKR75KIM / LA

Symptoms (1)

Extra dose administered

Symptom narrative

Patient came to the pharmacy and asked for "any vaccines" she was due for. I checked her chart and saw that she was listed as "due" for Tdap. I printed her form, highlighted this info and gave it to her for her record and administered Boostrix to her. Apparently already had Boostrix administered 08/04/2025. We have attempted to notify her multiple times but she has not returned calls.

Current illness

N/A

Medical history

Anxiety, nausea, GERD

Other medications

*Omeprazole 40 mg *Promethazine 12.5 mg *Desvenlafaxine Succ ER 50 mg *Mirtazapine 15 mg *

Allergies

N/A

Lab data

N/A