Report #2890984

Received Mar 27, 2026

DiedER / ED 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: Female
Age: Age unknown
State: TN
Recovered: Not recovered
Vaccinated: Feb 13, 2026
Onset: Feb 14, 2026
Days to onset: 1
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPHEPBIP	DTAP + HEPB + IPV (PEDIARIX)	GLAXOSMITHKLINE BIOLOGICALS	2	TE499	IM / LL
HIBV	HIB (PEDVAXHIB)	MERCK & CO. INC.	2	Z007710	IM
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	2	MH1449	IM / RL
RV1	ROTAVIRUS (ROTARIX)	GLAXOSMITHKLINE BIOLOGICALS	2	—	PO / MO

Symptoms (2)

Cardiac arrestDeath

Symptom narrative

6-month-old went to Emergency Room on 2/14/2026 in cardiac arrest, patient deceased

Current illness

None reported

Medical history

History of incarcerated umbilical hernia

Other medications

Unknown

Allergies

None known

Lab data

Unknown