Report #2846580

Received Jun 19, 2025

ER / ED visitOffice visitDisabled

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: 0.5 yrs
State: WI
Recovered: Not recovered
Vaccinated: Nov 8, 2023
Onset: Nov 9, 2023
Days to onset: 1
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPHEPBIP	DTAP + HEPB + IPV (PEDIARIX)	GLAXOSMITHKLINE BIOLOGICALS	3	Unknown	IM / RL
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	3	Unknown	IM / RL
UNK	VACCINE NOT SPECIFIED (OTHER)	UNKNOWN MANUFACTURER	3	Unknown	IM / LL

Symptoms (11)

CryingDecreased eye contactDepressed level of consciousnessDevelopmental regressionFood refusalGastrooesophageal reflux diseaseInfant irritabilityPoor feeding infantPyrexiaScreamingVomiting

Symptom narrative

Relfux/vomit, no longer eating solids, no longer breastfeeding, no longer babbling, eye contact avoidance, moments of being unalert, fever, fussiness, screaming, crying

Current illness

None

Medical history

None

Other medications

None

Allergies

None

Lab data

None

Prior vaccinations

Reflux following 2 month vaccines