Report #2887401

Received Mar 2, 2026

Office visit

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Overview

Sex: Female
Age: 0.3 yrs
State: MO
Recovered: Recovered
Vaccinated: Feb 25, 2026
Onset: Feb 26, 2026
Days to onset: 1
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPHEPBIP	DTAP + HEPB + IPV (PEDIARIX)	GLAXOSMITHKLINE BIOLOGICALS	2	72M4D	IM / RL
HIBV	HIB (HIBERIX)	GLAXOSMITHKLINE BIOLOGICALS	2	Z943X	IM / LL
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	2	MM0513	IM / LL
RV1	ROTAVIRUS (ROTARIX)	GLAXOSMITHKLINE BIOLOGICALS	2	94A7Z	PO / MO

Symptoms (1)

Haematochezia

Symptom narrative

Blood noted in stool day after administration. Visit to outpatient pediatrician's office.

Current illness

None Known

Medical history

None

Other medications

None

Allergies

NKA

Lab data

N/A