Report #2833508

Received Mar 27, 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: 14 yrs
State: TX
Recovered: Recovered
Vaccinated: Jan 2, 2025
Onset: Jan 2, 2025
Days to onset: 0
Hospital days: —

Vaccines (10)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	B0005	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLULAVAL)	GLAXOSMITHKLINE BIOLOGICALS	UNK	7KZ9R	IM / RA
HEP	HEP B (ENGERIX-B)	GLAXOSMITHKLINE BIOLOGICALS	4	9K74F	IM / RA
HEPA	HEP A (HAVRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	T5727	IM / LA
HPV9	HPV (GARDASIL 9)	MERCK & CO. INC.	1	Y008119	IM / RA
IPV	POLIO VIRUS, INACT. (IPOL)	SANOFI PASTEUR	5	X1C891M	SC / LA
MMR	MEASLES + MUMPS + RUBELLA (MMR II)	MERCK & CO. INC.	2	X007688	SC / RA
MNQ	MENINGOCOCCAL CONJUGATE (MENQUADFI)	SANOFI PASTEUR	1	U8271AB	IM / RA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	M7YY5	IM / LA
VARCEL	VARICELLA (VARIVAX)	MERCK & CO. INC.	1	Y013346	SC / LA

Symptoms (2)

Condition aggravatedSeizure

Symptom narrative

on 3/17/25 pt mother reported that pt had a seizure following the administration of vaccines on the day of 01/02/25. Pt has history of seizures. And does not know if receiving all of these vaccines in one day contributed to an episode on 01/02/25. No further concerns at this time. Pt came from (redacted). And vaccines there as well. Going forward pt will separate vaccines to minimize episodes. Decision is based on pts family request.

Current illness

history of seizures

Medical history

history of seizures

Other medications

unk

Allergies

unk

Lab data

unk