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Report #2878221

Received Dec 16, 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
Age unknown
State
MT
Recovered
Recovered
Vaccinated
Oct 15, 2025
Onset
Oct 16, 2025
Days to onset
1
Hospital days
—

Vaccines (4)

TypeNameManufacturerDoseLotRoute / Site
DTAPHEPBIPDTAP + HEPB + IPV (PEDIARIX)GLAXOSMITHKLINE BIOLOGICALS1TE499IM / RL
HIBVHIB (PEDVAXHIB)MERCK & CO. INC.1Y015929IM / LL
PNC20PNEUMO (PREVNAR20)PFIZER\WYETH1LX2496IM / LL
RV5ROTAVIRUS (ROTATEQ)MERCK & CO. INC.12139673PO / MO

Symptoms (3)

ConstipationIrritabilityPyrexia

Symptom narrative

FEVER OF 103 DEGREES, FUSSY AND CONSTIPATED X 10 DAYS

Current illness

nasal congestion x 1 week prior, no fevers

Medical history

Plagiocephaly, acquired and umbilical hernia

Other medications

no medications

Allergies

none

Lab data

NONE