Report #2841157

Received May 15, 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: Male
Age: 4 yrs
State: CA
Recovered: Recovered
Vaccinated: May 13, 2025
Onset: May 14, 2025
Days to onset: 1
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPIPV	DTAP + IPV (QUADRACEL)	SANOFI PASTEUR	5	U8009AB	SC / LA
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	2	Y015257	IM / RA

Symptoms (11)

Abdominal pain upperAstheniaBlood glucose decreasedBlood urine presentEye movement disorderFatigueFoaming at mouthFull blood count normalMalaiseMetabolic function test normalTremor

Symptom narrative

The morning following his immunizations he began experiencing a stomach ache. He ate a normal breakfast. He had no fever and no vomiting. He was laying down on the couch because he felt ill. Mother runs a daycare and when a daycare aide was asked to check on him she immediately notified mother something was wrong. Mother found him frothing at the mouth and without strength when trying to stand him up. His eyes rolled back into his head and he was shaking rhythmically. No bladder or bowel incontinence. Felt very tired afterwards. Felt fine when in the Emergency Department and has been at baseline since then.

Current illness

Otitis Media on 3/25/2025 treated with amoxicillin., Recurrent Otitis Media with Tympanic Membrane Perforation on 4/14/2025 treated with cefdinir.

Lab data

POC glucose of 40 by EMT following the seizure. Urinalysis was normal other than trace blood. CBC was normal with no leukocytosis. CMP was normal with no electrolyte abnormalities.