Report #2831175

Received Mar 13, 2025

A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex: Female
Age: 0.5 yrs
State: MI
Recovered: Recovered
Vaccinated: Mar 12, 2025
Onset: —
Days to onset: —
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPIPVHIB	DTAP + IPV + HIB (PENTACEL)	SANOFI PASTEUR	3	UK149AB	IM
HEP	HEP B (ENGERIX-B)	GLAXOSMITHKLINE BIOLOGICALS	3	LG749	IM
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	3	LX2497	IM
RV5	ROTAVIRUS (ROTATEQ)	MERCK & CO. INC.	N/A	Y014317	PO / MO

Symptoms (2)

Contraindication to vaccinationNo adverse event

Symptom narrative

NO ADVERSE EVENT OCCURRED. DUE TO THE PATIENT'S HEALTH HISTORY, IT WAS MEDICALLY CONTRAINDICATED THAT THE PATIENT RECEIVE THE ROTAVIRUS VACCINE.

Current illness

NONE. PATIENT HAD A COUGH THREE WEEKS PRIOR TO 3/12/2025.

Medical history

ATRIAL SEPTAL DEFECT, CHRONIC KIDNEY DISEASE, FAILURE TO THRIVE, DISORDER OF KIDNEY & URETER, INUTERO EXPOSURE TO HUMIRA (UNABLE TO RECEIVE ROTAVIRUS VACCINE)

Other medications

PEPCID

Allergies

NONE

Lab data

NONE