Report #2847211

Received Jun 25, 2025

HospitalizedER / ED visitOffice 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: CA
Recovered: Recovered
Vaccinated: Apr 4, 2019
Onset: Apr 4, 2019
Days to onset: 0
Hospital days: 1

Vaccines (5)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAP	DTAP (DAPTACEL)	SANOFI PASTEUR	1	unknown	SYR / LG
HIBV	HIB (PEDVAXHIB)	MERCK & CO. INC.	1	unknown	SYR / LG
PNC15	PNEUMO (VAXNEUVANCE)	MERCK & CO. INC.	UNK	unknown	SYR / LG
RV1	ROTAVIRUS (ROTARIX)	GLAXOSMITHKLINE BIOLOGICALS	1	unknown	SYR / LG
UNK	VACCINE NOT SPECIFIED (OTHER)	UNKNOWN MANUFACTURER	1	unknown	SYR / LG

Symptoms (7)

ChokingCyanosisDyspnoeaFoaming at mouthSeizureSeizure like phenomenaSkin discolouration

Symptom narrative

Labored breathing, seizure like activity, convulsions, skin turned gray, lips and nails blue/purple, foaming out of mouth and choking. Went to physician on call, then ER. Was over a couple days.

Lab data

went to ER will attach medical records