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Report #2839688

Received May 6, 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
12 yrs
State
OK
Recovered
Recovered
Vaccinated
Apr 29, 2025
Onset
Apr 29, 2025
Days to onset
0
Hospital days
—

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
HPV9HPV (GARDASIL 9)MERCK & CO. INC.1Z005055IM / RA
MNQMENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICS157H54IM / LA
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS1Y3Z9PIM / LA

Symptoms (3)

FallLoss of consciousnessSyncope

Symptom narrative

PATIENT FELL BACK AFTER RECEIVING VACCINE AND APPEARED TO FAINT/BE UNCONSCIOUS FOR ABOUT 30-45 SECONDS, PER MA IN ROOM. DR DESCRIBED IT TO MOM AS A LIKELY VASOVAGAL SYNCOPE EPISODE.

Current illness

NONE

Medical history

NONE

Other medications

NONE

Allergies

NONE

Lab data

NONE