Report #2882151

Received Jan 16, 2026

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: Female
Age: 1.3 yrs
State: MI
Recovered: Recovered
Vaccinated: Jan 14, 2026
Onset: Jan 14, 2026
Days to onset: 0
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA MNEXSPIKE))	MODERNA	N/A	3053481	IM / LL
DTAPHEPBIP	DTAP + HEPB + IPV (PEDIARIX)	GLAXOSMITHKLINE BIOLOGICALS	N/A	2TP34	IM / RL
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	2	5ef45	IM / LL
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	4	MF0425	IM / LL

Symptoms (1)

Wrong product administered

Symptom narrative

Patient received Pediatrix but should've received Pentacel (DTaP-HiB-IPV)

Current illness

congenital motor delay and hearing loss

Medical history

congenital motor delay and hearing loss

Other medications

none

Allergies

NKDA

Lab data

none