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Report #2825955

Received Feb 12, 2025

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
16 yrs
State
MN
Recovered
Recovered
Vaccinated
Feb 11, 2025
Onset
Feb 11, 2025
Days to onset
0
Hospital days
—

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
HEPHEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS347D3SIM / LA
IPVPOLIO VIRUS, INACT. (IPOL)SANOFI PASTEUR2W1C751MIM / RA
MMRMEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.2X018902SC / LA

Symptoms (4)

Balance disorderDizzinessPallorSyncope

Symptom narrative

Vaccine appointment, review eligibility, contraindications and VIS. Vaccine preparation, administration and documentation. Scanned files into nightingale notes. Administered Hep B, without apparent reactions. Administered MMR and patient appeared pale and unsteady. He was able to stand and change sides without apparent difficulties. Administered Polio vaccine and placed band aid, patient appeared to faint, eyes remained open but slid off chair, forward onto knees. Guardian and writer were able to hold him steady with no apparent injuries. He was able to state name, birthday and reported feeling dizzy/lightheaded. Remained sitting on the floor, asked for water. Writer called (co worker) for additional support. Patient was able to stand and sit in chair. Vitals taken 98% O2, 74 P, 16RR and 118/68 BP. Remained with patient for 30 min, appeared comfortable and left for home. To call as needed.

Current illness

None reported.

Medical history

None known.

Other medications

None known.

Allergies

None known.

Lab data

None completed. Pt appears to have recovered, no other reactions reported.