Report #2846938

Received Jun 23, 2025

ER / ED visit

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Overview

Sex: Male
Age: 21 yrs
State: TX
Recovered: Recovered
Vaccinated: Jun 20, 2025
Onset: Jun 20, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
MNQ	MENINGOCOCCAL CONJUGATE (MENVEO)	NOVARTIS VACCINES AND DIAGNOSTICS	2	3443E	IM / LA

Symptoms (7)

AstheniaChillsHyperhidrosisInjection site haemorrhageLoss of consciousnessParaesthesiaPulse abnormal

Symptom narrative

Patient DOB, received MCV4 (Meningococcal Conjugate Vaccine (Lot # 3443E) vaccine today, 6/20/2025, administered by this nurse, to L Deltoid with scant bleeding. Appointment was completed at 1514. After leaving immediately after appointment, mother returned approximately five minutes later stating her son had passed out and was sweating profusely. The patient was carried in by his brother and laid on the lobby floor and assessed by the two nurses on site. At this time client was conscious, diaphoretic, reporting chills, tingling and weakness. Pulse was weak and thready, BP 90/60. Patient reported he had not eaten anything this day. EMS was called and arrived on scene approximately 1525. At this time patient was A&Ox4, assessed by EMS and put on the stretcher and loaded into ambulance at 1534. Ambulance left parking lot at 1554.

Current illness

unknown

Medical history

unknown

Other medications

unknown

Allergies

NKA reported

Lab data

N/A