Report #2869569

Received Oct 30, 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: 6 yrs
State: MI
Recovered: Unknown
Vaccinated: Oct 27, 2025
Onset: Oct 27, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPHEPBIP	DTAP + HEPB + IPV (PEDIARIX)	GLAXOSMITHKLINE BIOLOGICALS	4	B532G	IM / LA
HEP	HEP B (ENGERIX-B)	GLAXOSMITHKLINE BIOLOGICALS	5	42B22	IM / RA
MMR	MEASLES + MUMPS + RUBELLA (MMR II)	MERCK & CO. INC.	2	Y019107	SC / RA

Symptoms (1)

Extra dose administered

Symptom narrative

Separate, additional dose of Pediatric Hepatitis B vaccine given on same day as Pediarix (Dtap, Hep B, IPV).

Current illness

Mother stated child had "stepped on a nail about a week ago".

Medical history

Mother reports on Immunization screening form: "No" to all screening questions.

Other medications

unknown

Allergies

Mother states child has no allergies

Lab data

none