Report #2848523

Received Jul 5, 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: Male
Age: 5 yrs
State: HI
Recovered: Unknown
Vaccinated: Sep 1, 1974
Onset: Sep 1, 1974
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
UNK	VACCINE NOT SPECIFIED (OTHER)	UNKNOWN MANUFACTURER	UNK	—	SYR / LA

Symptoms (2)

DyspnoeaInjection site swelling

Symptom narrative

DIFFICULTY BREATHING, SWELLING AT INJECTION SITE

Current illness

NONE

Medical history

NONE AT TIME OF INJECTION

Other medications

NONE

Allergies

UNKNOWN AT TIME OF INJECTION OTHER THAN MOTHER'S MILK

Lab data

N/A AT THE TIME OF THE EVENT; JULY 2025 FOUND ALLERGIC RESPONSE TO AT LEAST POLYETHYLENE GLYCOL