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Report #2856014

Received Aug 28, 2025

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
MI
Recovered
Recovered
Vaccinated
Aug 26, 2025
Onset
Aug 26, 2025
Days to onset
0
Hospital days
—

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
DTAPHEPBIPDTAP + HEPB + IPV (PEDIARIX)GLAXOSMITHKLINE BIOLOGICALS19C295IM / LL
HIBVHIB (HIBERIX)GLAXOSMITHKLINE BIOLOGICALS1Y2DX4IM / RL
PNC20PNEUMO (PREVNAR20)PFIZER\WYETH1LN4932IM / RL

Symptoms (5)

CyanosisInfantile apnoeaIntensive careOxygen saturation decreasedResuscitation

Symptom narrative

Infant was apneic, cyanotic, with no respiratory effort. Oxygen saturation was recorded at 11% at the lowest, heart rate 30 beats per minute. Infant required resuscitation with positive pressure ventilation, brief chest compressions for 30 seconds, and suctioning. Event lasted 6 minutes. Infant recovered, was returned to previous respiratory support of 2L 21% hiflo nasal cannula and monitored closely in the NICU overnight.

Medical history

Premature infant born at 26 4/7 weeks, history of respiratory support. On 2 liters 21% oxygen of hiflo nasal cannula at time of event. History of resolved Grade II and Grade I intraventricular hemorrhage. Infant was 35 3/7 weeks at time of event.

Other medications

Lasix, Diuril, Poly-Vi-Sol with Iron