Report #2876616

Received Dec 5, 2025

Office visit

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: 0.5 yrs
State: TX
Recovered: Recovered
Vaccinated: Dec 4, 2025
Onset: Dec 5, 2025
Days to onset: 1
Hospital days: —

Vaccines (5)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3053238	IM / RL
DTAPHEPBIP	DTAP + HEPB + IPV (PEDIARIX)	GLAXOSMITHKLINE BIOLOGICALS	3	4L544	IM / RL
FLU3	INFLUENZA (SEASONAL) (FLUARIX)	GLAXOSMITHKLINE BIOLOGICALS	1	24ZS2	IM / LL
HIBV	HIB (HIBERIX)	GLAXOSMITHKLINE BIOLOGICALS	3	5474P	IM / LL
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	3	MH9579	IM / LL

Symptoms (4)

AstheniaFatigueHypotoniaPallor

Symptom narrative

woke up at 0700, was tired and weak/limp and pale. Parents started to get ready for ED and fed bottle. Within 15 minutes, more alert and active and color back.

Current illness

URI and mild bronchiolitis end of Nov, early Dec

Medical history

None

Other medications

None

Allergies

None

Lab data

Normal vitals and BP. No other labs done