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Report #2888254

Received Mar 9, 2026

Hospitalized
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
1.4 yrs
State
AZ
Recovered
Recovered
Vaccinated
Nov 9, 1965
Onset
Nov 1, 1965
Days to onset
—
Hospital days
4

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
SMALLSMALLPOX (ACAM2000)EMERGENT BIOSOLUTIONSUNK——

Symptoms (4)

Drug hypersensitivityFood allergyPyrexiaTuberculin test

Symptom narrative

After receiving the Small Pox Vaccination in my left arm, several days later I developed a temperature of 104 degrees. Dr [name withheld] admitted me to the hospital in [city, state withheld]. I was placed in an oxygen tent to bring the fever down, and notes indicate that the hospital gave me penicillin each day I was there. According to my Mom's notes, the hospital gave me a TB test.

Current illness

None.

Medical history

Learned as an adult, chronic, reactivated Epstein-Barr Virus, Lyme borrelia, babesia, bartonella infections. Exposed to hidden mold and has CIRS - Chronic inflammatory response syndrome.

Other medications

None

Allergies

None known at time of event. Later in life, developed allergies to penicillin, the z-pack, prednisone, peanuts, hazelnuts, wheat, corn.

Lab data

See above