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Report #2843728

Received Jun 3, 2025

ER / ED 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
12 yrs
State
UT
Recovered
Recovered
Vaccinated
May 29, 2025
Onset
May 29, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
MNQMENINGOCOCCAL CONJUGATE (MENQUADFI)SANOFI PASTEUR1U8194AAIM / LA

Symptoms (4)

CyanosisElectrocardiogram normalFoaming at mouthLoss of consciousness

Symptom narrative

patient was given vaccine and left clinic, went across the street to artic circle for ice cream and passed out in the car. Parents said patient turned blue and was foaming at the mouth for a short period. Parents brought patient to the ER next door to the clinic and was seen and vitals quickly became stable.

Current illness

none

Medical history

Tricuspid Valve Insufficiency

Other medications

none

Allergies

none

Lab data

no labs, EKG performed showing results within normal limits, stable vitals