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Report #2840754

Received May 13, 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
Male
Age
12 yrs
State
—
Recovered
Recovered
Vaccinated
May 13, 2025
Onset
May 13, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
MNQMENINGOCOCCAL CONJUGATE (MENQUADFI)SANOFI PASTEUR1U8361AAIM / LA
TDAPTDAP (ADACEL)SANOFI PASTEUR1U7983AAIM / LA

Symptoms (3)

Cold sweatFeeling abnormalPallor

Symptom narrative

Pt was given Tdap and MCV4, in this order, in Left deltoid, greater than 1" apart. After MCV4 was given pt leaned forward and was asked if he felt ok, he voiced "no, I feel funny". Had pt lay down on exam table. Did not feel clammy at this time and his skin tone was still normal appearance. Call bell placed next to pt/father and advised to ring if needing assistance while this nurse went to get a cup of water. Water was given to pt, when entering room father voiced he did feel clammy at that time, and pt was pale skin tone. Ice pack was then placed on back of pt neck, and he was sitting up. Noted to have felt better. Had pt wait in exam room for 15mins post adminstration, consulted a provider in the office, it was agreed upon to not give the HPV9 d/t the rxn from other vaccines. Pt left office stating he felt fine, color was back to his normal and not feeling clammy any longer.

Current illness

n/a

Medical history

n/a

Other medications

n/a

Allergies

PCN, Azithromycin

Lab data

n/a