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Report #2897053

Received May 19, 2026

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

Overview

Sex
Male
Age
0.3 yrs
State
CA
Recovered
Recovered
Vaccinated
Apr 28, 2026
Onset
Apr 29, 2026
Days to onset
1
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
DTAPIPVDTAP + IPV (KINRIX)GLAXOSMITHKLINE BIOLOGICALS15G23DIM / LL

Symptoms (1)

Product administered to patient of inappropriate age

Symptom narrative

4 month old patient was given a 4-6 year old vaccine by mistake. Clinic Medical Director communicated the mistake to parents on 05/19/26

Other medications

vitamin d DROPS 400 UNIT/.028

Allergies

Patient has no known allergies.