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Report #2835580

Received Apr 10, 2025

Life-threateningHospitalizedER / 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
Female
Age
10 yrs
State
NY
Recovered
Recovered
Vaccinated
Apr 10, 2025
Onset
Apr 10, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALS1AE2J7IM / LA

Symptoms (6)

Blood testCyanosisFallHypoaesthesiaLoss of consciousnessPallor

Symptom narrative

Patient received flu immunization and then had blood work done in room. When patient was getting ready to leave the patient's room in health center patient stood up and told her mother" I don't feel my legs" and then started to fall. At this time the patient's mother called out for the doctor. Dr., LPN and MA went to patient's room and assisted with patient at 8:50 am. First 911 call was made at 8:50 am. Patient was on the floor, extremely pale skin, blue lips, and not conscious. BP within normal range, pulse within normal range, Oxygen was placed on patient. Patient was being spoke to which made her aware of her surroundings. alert and orientated to time and location.

Current illness

N/A

Medical history

N/A

Other medications

Ferrous Sulfate 300 (60 Fe) MG/5ML Syrup 5 ml Orally Once a day. Multivitamins/Fluoride 1 mg Tablet Chewable 1 tablet Orally Once a day. Loratadine 5 MG/5ML Syrup 10 ml Orally Once a day. Multivitamin/Fluoride 1 MG Tablet Chewable 1 tablet

Allergies

N.K.D.A

Lab data

n/a