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Report #2839051

Received Apr 30, 2025

ER / ED visit
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
0.2 yrs
State
NE
Recovered
Recovered
Vaccinated
Mar 7, 2025
Onset
Mar 7, 2025
Days to onset
0
Hospital days
—

Vaccines (4)

TypeNameManufacturerDoseLotRoute / Site
DTAPIPVHIBDTAP + IPV + HIB (PENTACEL)SANOFI PASTEUR1UK199AAIM / LL
HEPHEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS24D333IM / RL
PNC20PNEUMO (PREVNAR20)PFIZER\WYETH1LK6651IM / RL
RV5ROTAVIRUS (ROTATEQ)MERCK & CO. INC.12117042PO / MO

Symptoms (3)

CyanosisStaringVomiting projectile

Symptom narrative

Per patient's mother at 1955 patient was taking her famotidine and projectile vomited. Following that patient's lips and around mouth were a bluish/purple color. Patient then began to have bubbles come out of her mouth and had a "blank stare." Per mother reported that patient then was not tracking or responding for approximately 2 minutes following episode.

Current illness

none

Medical history

GERD

Other medications

famotidine, vitamin D3, and aquaphor with questran

Allergies

none

Lab data

Patient was evaluated in the ER. Physical exam completed, but no laboratory or imaging completed.