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Report #2837504

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
15 yrs
State
TX
Recovered
Recovered
Vaccinated
Apr 22, 2025
Onset
Apr 22, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNAN/A8080433IM / RA
FLU3INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSN/APG52SIM / RA

Symptoms (2)

NauseaVomiting

Symptom narrative

15 years old, Female patient came with her mom to get vaccinated yesterday at 5:30pm. Patient was administered covid Moderna 12+up and Fluarix - influenza vaccine. Prior to vaccine administration patient was screen for severe allergies to food, medications and vaccines. Mom stated that her daughter does not have any prior history of severe allergies reactions to food, medications and vaccines. Influenza - fluarix - Lot number PG52S - Given IM - Right deltoid - 5:30 pm and Covid - Moderna - Lot number 8080433 - Given IM - Right deltoid - 5:31 pm. During patient observation at 5:35 pm = Patient complained feeling nauseas and then vomit. Patient was alert and orientated x3. at 5:40 pm Vital signs reading was: BP: 85/63 - HR: 105 ' SAT: 95%. at 5:44 pm : BP: 88/69 - HR: 89' - SAT: 95%. At 6:00 pm : BP: 92/76 - HR: 104 - SAT: 99%. At 6:05 pm: 93/75 - HR: 86' - SAT: 98%. after patient last vital signs. Patient stated, she was feeling better and had no further symptoms. Mom declined ambulance transport. Patient was recommended to wait 15 more minutes for further observation. After these 15 minutes, Patient stated that she felt and had no more symptoms. Mom was recommended to go to urgent care in case if she has worsened symptoms. Mom reported that patient had her last meal at 12:00 pm and had no anything else after that. Patient left the scene walking with no complications in company with her mother and sister. Follow up call will be done today. Made follow up call to patient's mom at 1:40 pm - 04/23/2025 - Mom reported that patient didn't have any more symptoms and she went to school today in the morning. Mom also reported that she didn't have to take her to urgent care. Provider was notified.