Report #2901883

Received Jun 29, 2026

HospitalizedER / ED visitOffice 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: 0.3 yrs
State: TX
Recovered: Recovered
Vaccinated: Apr 13, 2026
Onset: Apr 28, 2026
Days to onset: 15
Hospital days: 3

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPIPVHIB	DTAP + IPV + HIB (PENTACEL)	SANOFI PASTEUR	2	uk307ab	IM / LL
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	2	mm0530	IM / LL
RV5	ROTAVIRUS (ROTATEQ)	MERCK & CO. INC.	2	2010728	MO

Symptoms (5)

Enema administrationIntussusceptionLaboratory testLaparoscopic surgeryUltrasound abdomen abnormal

Symptom narrative

4 month vaccines given on 4/13/2026. Patient had symptoms of intussusception on 4/27/26 (was seen in the ER that day and sent home without an ultrasound). Patient returned to the ED on 4/28/26, ultrasound confirmed intussusception. Patient had a barium enema in attempt to reposition bowel to normal position. This was unsuccessful and patient required laparoscopic reduction under anesthesia. patient was admitted to the hospital from 4/28-5/1.

Current illness

nasal congestion at time of vaccine. weight being followed for poor weight gain secondary to cows milk protein allergery

Medical history

cows milk protein allergy, laryngomalacia

Other medications

none

Allergies

dairy intolerance

Lab data

ultrasound, labs, barium enema, surgery.