Report #2833067

Received Mar 25, 2025

ER / ED visitOffice visit

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Overview

Sex: Female
Age: 11 yrs
State: NC
Recovered: Recovered
Vaccinated: Mar 24, 2025
Onset: Mar 24, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
HPV9	HPV (GARDASIL 9)	MERCK & CO. INC.	1	Y012865	IM / RA
MNQ	MENINGOCOCCAL CONJUGATE (MENQUADFI)	SANOFI PASTEUR	1	U8271AB	IM / LA
TDAP	TDAP (ADACEL)	SANOFI PASTEUR	1	U8252AA	IM / LA

Symptoms (6)

DisorientationDizzinessHypotensionPallorPresyncopeTachycardia

Symptom narrative

patient became hypotensive, pale, dizzy, disoriented, lightheaded. tachycardia. patient monitored in office x 1.5 hours, sent to e.d.. pt discharged at 1640 from e.d. after vitals stabilized. patient diagnosed with vasovagal reaction after vaccination injections.

Current illness

none

Medical history

none

Other medications

none

Allergies

peanut allergy

Lab data

none. vitals monitored only