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Report #2900610

Received Jun 18, 2026

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

TypeNameManufacturerDoseLotRoute / Site
DTAPDTAP (DAPTACEL)SANOFI PASTEURUNK4CA37C1IM / RL
HIBVHIB (ACTHIB)SANOFI PASTEUR4UK369AAIM / RL
PNC20PNEUMO (PREVNAR20)PFIZER\WYETHUNKMN0737IM / 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