Report #2841348

Received May 16, 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: 6 yrs
State: MT
Recovered: Recovered
Vaccinated: May 16, 2025
Onset: May 1, 2025
Days to onset: —
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAP	DTAP (DAPTACEL)	SANOFI PASTEUR	4	3CA55C1	IM / LA
IPV	POLIO VIRUS, INACT. (IPOL)	SANOFI PASTEUR	4	X1C891M	RA
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	1	Y009589	LA

Symptoms (3)

FallLoss of consciousnessMusculoskeletal stiffness

Symptom narrative

Vaccine given at 11:35. Pt tolerated well. Moved on to siblings, Pt fell out of chair she was sitting in while giving sibling vaccine. Pt was posturing in a stiff position with head back and bilateral legs and arms stiff. Appeared momentarily unconscious but regained consciousness within seconds. VS: 126/78 HR: 81 RR:38 O2 sats: 99%. Completely oriented within seconds and denied any pain. No further follow up required.