Report #2839995

Received May 8, 2025

Office 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: Male
Age: 11 yrs
State: FL
Recovered: Recovered
Vaccinated: May 8, 2025
Onset: May 8, 2025
Days to onset: 0
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLULAVAL)	GLAXOSMITHKLINE BIOLOGICALS	UNK	495MK	IM / LA
HPV9	HPV (GARDASIL 9)	MERCK & CO. INC.	1	Y012865	IM / LA
MNQ	MENINGOCOCCAL CONJUGATE (MENQUADFI)	SANOFI PASTEUR	1	U8361AA	IM / RA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	LQ494	IM / RA

Symptoms (1)

Syncope

Symptom narrative

brief syncope with last vaccine administered (Tdap) immediately recovered when name called. mom believes he was holding breath. Laid in supine position given H20, vitals stable.

Current illness

None

Medical history

autism ADHD

Other medications

Clonidine, guanfacine

Allergies

NKDA

Lab data

N/A