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Report #2837525

Received Apr 23, 2025

ER / ED visitOffice 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
4 yrs
State
VA
Recovered
Recovered
Vaccinated
Apr 22, 2025
Onset
Apr 22, 2025
Days to onset
0
Hospital days
—

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
DTAPIPVHIBDTAP + IPV + HIB (PENTACEL)SANOFI PASTEURN/Auk196aaIM / LL
HEPAHEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALS2J4k4xIM / LL
MMRVMEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.2y09176SC / RL

Symptoms (8)

CyanosisDyskinesiaElectrocardiogram normalFallPyrexiaSkin discolourationSkin warmSomnolence

Symptom narrative

Patient left the office after receiving her vaccines. Of note, she received 2 combination vaccines but had received indidual components of the vaccine previously per her immunization record that was brought to the office. About an hour after receiving her vaccines, pt. was with mom at mom's doctor's appointment when pt. reportedly fell to the floor, and started having jerking movements. Mom stated that her face turned blue/purple and her lips turned black. Patient's vitals were obtained and she was taken to the ER via ambulance. Mom stated that the episode lasted about 1-2 minutes and by the time the ambulance arrived 20 minutes later she had returned to her baseline. Pt. was examined in the ER and an EKG was reportedly normal. Pt. was discharged home and mom states that she was sleepy and slept for about 2 hours. Pt. then woke up because she was hungry and ate. Mom noted at that time that pt. had a fever as she was hot to touch but she wanted a blanket on her. Patient followed up in the office on 04/23/2025 and was playing, eating and acting normal.

Current illness

none

Medical history

none

Other medications

none

Allergies

none

Lab data

EKG at Hospital - reportedly normal. Official report pending