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Report #2875958

Received Dec 2, 2025

Died
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
NY
Recovered
Not recovered
Vaccinated
Jun 24, 2025
Onset
Jun 25, 2025
Days to onset
1
Hospital days
—

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
DTPPVHBHPBDTAP+IPV+HIB+HEPB (VAXELIS)MSP VACCINE COMPANY1U8313AAIM / RL
PNC13PNEUMO (PREVNAR13)PFIZER\WYETH1Y010035IM / RL
RV1ROTAVIRUS (ROTARIX)GLAXOSMITHKLINE BIOLOGICALS12091232PO / MO

Symptoms (1)

Death

Symptom narrative

Was called one week later that the patient expired.

Current illness

none

Medical history

34 week twin.

Other medications

none

Allergies

none

Lab data

Medical Examiner case