Report #2874283

Received Nov 23, 2025

Life-threateningHospitalized

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: Female
Age: 0.3 yrs
State: VA
Recovered: Not recovered
Vaccinated: Nov 21, 2025
Onset: Nov 21, 2025
Days to onset: 0
Hospital days: 1

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTPPVHBHPB	DTAP+IPV+HIB+HEPB (VAXELIS)	MSP VACCINE COMPANY	2	Unknown	IM / RL
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	2	Unknown	IM / RL
RV5	ROTAVIRUS (ROTATEQ)	MERCK & CO. INC.	2	Unknown	MO

Symptoms (13)

Anaphylactic reactionAngioedemaCyanosisElectrocardiogramElectroencephalogramFull blood countHypotonic-hyporesponsive episodePallorRespiratory arrestStaringTryptaseUnresponsive to stimuliVomiting

Symptom narrative

Anaphylaxis, hypo reactive hypotonic event. Pale/grey , baby unresponsive and not breathing for less 10 minutes, angioedema, cyanosis of mouth, hands, feet. Gaze fixed to the left, emesis.

Current illness

None

Medical history

None

Other medications

Famatodine

Allergies

None

Lab data

EEG, ekg, cbc, tryptase