Report #2899265

Received Jun 7, 2026

HospitalizedER / 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: Male
Age: 0.2 yrs
State: NY
Recovered: Unknown
Vaccinated: Jun 1, 2026
Onset: Jun 7, 2026
Days to onset: 6
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPHEPBIP	DTAP + HEPB + IPV (PEDIARIX)	GLAXOSMITHKLINE BIOLOGICALS	1	K25M5	IM / LL
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	1	MN0723	IM / RL
RV1	ROTAVIRUS (ROTARIX)	GLAXOSMITHKLINE BIOLOGICALS	1	3Z34X	PO / MO

Symptoms (3)

Enema administrationIntussusceptionUltrasound abdomen

Symptom narrative

ileocolic intussusception

Current illness

None

Medical history

None

Other medications

None

Allergies

Milk protein sensitivity

Lab data

Abdominal ultrasound, air contrast enema, hospital admission