Report #2881191

Received Jan 9, 2026

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: ID
Recovered: Unknown
Vaccinated: Jan 5, 2026
Onset: Jan 5, 2026
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPHEPBIP	DTAP + HEPB + IPV (PEDIARIX)	GLAXOSMITHKLINE BIOLOGICALS	1	2TP34	IM / LL
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	3	MA2484	IM / RL
RV5	ROTAVIRUS (ROTATEQ)	MERCK & CO. INC.	3	Z007666	PO / MO

Symptoms (1)

Wrong product administered

Symptom narrative

Patient was given a Pediarix vaccine inadvertently when mother requested only Dtap vaccine.