Report #2862991

Received Oct 3, 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: 0.6 yrs
State: TX
Recovered: Unknown
Vaccinated: Aug 21, 2015
Onset: Aug 1, 2015
Days to onset: —
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPIPVHIB	DTAP + IPV + HIB (PENTACEL)	SANOFI PASTEUR	UNK	—	—
PNC13	PNEUMO (PREVNAR13)	PFIZER\WYETH	UNK	—	—
RV5	ROTAVIRUS (ROTATEQ)	MERCK & CO. INC.	UNK	—	—

Symptoms (4)

IntussusceptionMyringotomySmall intestinal resectionX-ray

Symptom narrative

Developed intussusception within a week and had SMALL BOWEL RESECTION, TYMPANOSTOMY done on 8/28/15

Current illness

None

Medical history

Diagnosed with ADHD at the age of 6

Other medications

None

Allergies

None

Lab data

Xrays and other tests to indicate intussusception