Report #2880104

Received Dec 30, 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: 0.3 yrs
State: CA
Recovered: Not recovered
Vaccinated: Sep 4, 2015
Onset: Sep 11, 2015
Days to onset: 7
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPHEPBIP	DTAP + HEPB + IPV (PEDIARIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	—	UN / UN
HIBV	HIB (PEDVAXHIB)	MERCK & CO. INC.	4	—	UN / UN
PNC13	PNEUMO (PREVNAR13)	PFIZER\WYETH	UNK	—	UN / UN
RV1	ROTAVIRUS (ROTARIX)	GLAXOSMITHKLINE BIOLOGICALS	2	—	UN / UN

Symptoms (3)

AutopsyDeathSudden infant death syndrome

Symptom narrative

Infant died of ?SIDS? on 9/11/2015, just one week after his four month shots.

Current illness

Sniffles/getting over a cold but pediatrician insisted he should get vax

Medical history

None

Other medications

None

Allergies

None

Lab data

Autopsy performed soon after death. SIDS was the given reason for death.