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Report #2855185

Received Aug 22, 2025

Life-threateningOffice 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
ND
Recovered
Not recovered
Vaccinated
Oct 3, 2013
Onset
Sep 16, 2014
Days to onset
348
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
DTAPHEPBIPDTAP + HEPB + IPV (PEDIARIX)GLAXOSMITHKLINE BIOLOGICALS1M3475IM / RL

Symptoms (2)

Allergy testFood allergy

Symptom narrative

Patient became allergic to peanuts. He first had peanuts when he was just over a year old in September of 2014.

Current illness

none

Medical history

peanut allergy

Other medications

none

Allergies

peanut allergy

Lab data

Peanut allergy lab tests yearly.