Received Feb 1, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| SMALL | SMALLPOX (ACAM2000) | EMERGENT BIOSOLUTIONS | 2 | Y011480 | PO / MO |
Signs and symptoms of intussusception including blood in stool, inconsolable crying, abdominal pain, gas, reflux, mucous stools. Sign and symptoms started 4 days after vaccine and progressively got worse. 9/28 was seen in ER to rule out intussusception. Caused dairy protein intolerance and other GI issues after
none
GI issues since vaccine reaction, none prior to vaccine
none
dairy allergy since vaccine reaction, was not there prior to vaccine
Ultrasound of abdomen and urine analysis - 9/28/24