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Report #2879266

Received Dec 23, 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
0.4 yrs
State
MO
Recovered
Unknown
Vaccinated
Sep 3, 2025
Onset
Sep 3, 2025
Days to onset
0
Hospital days
—

Vaccines (4)

TypeNameManufacturerDoseLotRoute / Site
DTAPHEPBIPDTAP + HEPB + IPV (PEDIARIX)GLAXOSMITHKLINE BIOLOGICALSUNK9C295OT
PNCPNEUMO (PREVNAR)PFIZER\WYETHUNKLN4932OT
RVXROTAVIRUS (NO BRAND NAME)UNKNOWN MANUFACTURERUNK3234KOT
UNKVACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER2Y005366OT / LL

Symptoms (2)

No adverse eventProduct storage error

Symptom narrative

zero patients who received the affected administered doses reported any adverse issues or side effects; TE for PEDVAX HIB and GARDASIL 9 with multiple excursion that occurred over a month ago and were inadvertently administered to patient; This spontaneous report was received from a Nurse Practitioner and refers to a 5-month-old male patient. The patient's medical history was not reported. The patient's concurrent conditions were not reported. Concomitant therapies were not reported. From 01-Sep-2025 to 31-Oct-2025, the vaccines were underwent temperature excursion from 8.047 to 8.924 C (total 44 mins) and 24 days 53 mins from 0.928 to 1.991 C. On 03-Sep-2025, the patient was vaccinated with improperly stored vaccines including the second dose of LIQUID PEDVAX HIB (Haemophilus b Conjugate Vaccine (Meningococcal Protein Conjugate)), (lot #Y005366, expiration date: 05-Nov-2026), dose number 2, administered by Intramuscular route in Left Thigh; the second dose of Rotarix (Rotavirus vaccine live oral 1v) (lot #3234K, expiration date: 09-Nov-2026) administered by Oral route; the second dose of Prevnar (Pneumococcal vaccine conj 7v (CRM197)) (lot #LN4932, expiration date: 31-Aug-2026) (left thigh), administered by Intramuscular route in Left Thigh; the second dose of Pediarix (Diphtheria vaccine toxoid;Hepatitis b vaccine rHBsAg (yeast);Pertussis vaccine acellular 3-component;Polio vaccine inact 3v (Vero);Tetanus vaccine toxoid) (lot #9C295, expiration date: 02-Feb-2027) (right thigh), administered by Intramuscular route in Right Thigh; all for prophylaxis (product storage error). No adverse event. This is one of the several reports received from the same reporter.