Report #2842198

Received May 21, 2025

Office 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: HI
Recovered: Recovered
Vaccinated: Apr 29, 2025
Onset: Apr 29, 2025
Days to onset: 0
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPHEPBIP	DTAP + HEPB + IPV (PEDIARIX)	GLAXOSMITHKLINE BIOLOGICALS	1	5YBYL	IM / RL
HIBV	HIB (ACTHIB)	SANOFI PASTEUR	1	UK107AB	IM / RL
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	1	LN4928	IM / LL
RV5	ROTAVIRUS (ROTATEQ)	MERCK & CO. INC.	1	2091233	PO / MO

Symptoms (2)

Immediate post-injection reactionLethargy

Symptom narrative

Lethargy x/15 minutes, immediately after receiving vaccinations. Patient remained in doctor's office until stable.

Current illness

NONE

Medical history

NONE

Other medications

N/A

Allergies

NONE

Lab data

None.