Report #2831632

Received Mar 16, 2025

Died

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: Male
Age: 0.3 yrs
State: GU
Recovered: Not recovered
Vaccinated: Mar 13, 2025
Onset: Mar 13, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPHEPBIP	DTAP + HEPB + IPV (PEDIARIX)	GLAXOSMITHKLINE BIOLOGICALS	2	B532G	IM / RL
HIBV	HIB (PEDVAXHIB)	MERCK & CO. INC.	2	Y013470	IM / LL
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	2	LK6650	IM / LL

Symptoms (4)

DeathIntensive careResuscitationUnresponsive to stimuli

Symptom narrative

Infant was found at home unresponsive around 1900 on March 13, 2025, father began CPR and infant was brought to nearest hospital where the infant was then stabilized for transfer to a facility with an available pediatric provider. Infant slowly declined and was no longer responsive to treatments in ICU. Infant was pronounced deceased March 14, 2025 at 0814.

Current illness

intussusception

Other medications

none; RSV (BEYFORTUS)

Allergies

none