Report #2841992

Received May 21, 2025

DiedER / 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: Male
Age: 0.2 yrs
State: PA
Recovered: Not recovered
Vaccinated: Dec 9, 2024
Onset: Dec 10, 2024
Days to onset: 1
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPHEPBIP	DTAP + HEPB + IPV (PEDIARIX)	GLAXOSMITHKLINE BIOLOGICALS	1	9P329	IM / RL
HIBV	HIB (HIBERIX)	GLAXOSMITHKLINE BIOLOGICALS	1	2Z9F7	IM / RL
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	1	HN2630	IM / LL
RV1	ROTAVIRUS (ROTARIX)	GLAXOSMITHKLINE BIOLOGICALS	1	32PF3	PO / MO

Symptoms (1)

Sudden death

Symptom narrative

sudden death within 24 hours

Current illness

n/a

Medical history

n/a

Other medications

acetaminophen

Allergies

n/a