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Report #2837468

Received Apr 23, 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
Female
Age
11 yrs
State
GA
Recovered
Recovered
Vaccinated
Apr 22, 2025
Onset
Apr 22, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
MNQMENINGOCOCCAL CONJUGATE (MENQUADFI)SANOFI PASTEUR1U8193AAIM / RA
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS1XN575IM / LA

Symptoms (2)

DizzinessPallor

Symptom narrative

Patient received vaccines at approximately 5:30 PM without incident. Remained seated on exam table and assisted by mother with buttoning shirt while eating crackers and juice provided prior to vaccine administration. Stood from exam table to exit immunization room at approximately 5:35 PM. Color became pale. Patient was asked to return to exam table, and was assisted by RN. Patient verbalized that she felt "dizzy." RN and mother remained by patient as she experienced syncopal episode at approximately 5:37 PM and was gently lowered to floor by RN. Code Blue called. Nurses and CSR responded immediately. Patient alert and oriented upon being lowered to floor. Vitals obtained at 5:40 PM: BP 119/59, pulse 100. Ice packs applied to forehead, base of neck, and fan provided per patient request. Patient continues to converse with staff and mother present. Vitals obtained at 5:45 PM: BP 105/70, pulse 90. Patient reports starting to feel "normal." Assisted to sitting position by staff. Remained in sitting position for approximately 10 minutes. Provided crackers and juice per patient request. Vitals obtained at 5:50 PM: BP 109/62, pulse 90. Patient states she feels like she is able to attempt to stand. Assisted by staff to standing position. Vitals obtained at 5:55 PM: BP 110/67, pulse 86. Mother counseled on syncopal episode, and encouraged to continue to monitor daughter and seek medical attention if needed. Also encouraged adequate intake and rest following visit. Mother verbalizes understanding. Patient states that she feels better. Was assisted to waiting area by staff and was visualized exiting building with mother and grandfather at approximately 6:05 PM.

Current illness

Parent states patient is not sick at present visit

Medical history

N/A

Allergies

NKA