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Report #2846968

Received Jun 23, 2025

Office 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
Female
Age
11 yrs
State
AL
Recovered
Recovered
Vaccinated
Jun 20, 2025
Onset
Jun 20, 2025
Days to onset
0
Hospital days
—

Vaccines (6)

TypeNameManufacturerDoseLotRoute / Site
HEPHEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS347XP4IM / LA
HPV9HPV (GARDASIL 9)MERCK & CO. INC.UNKXO22737IM / RA
IPVPOLIO VIRUS, INACT. (IPOL)SANOFI PASTEUR3W1C741MIM / LA
MNQMENINGOCOCCAL CONJUGATE (MENQUADFI)SANOFI PASTEUR1U8193ABIM / LA
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS14799GIM / RA
VARCELVARICELLA (VARIVAX)MERCK & CO. INC.1Y004554SC / RA

Symptoms (1)

Syncope

Symptom narrative

On 06/20/2025 an 11 year old child in clinic for vaccinations, syncopal episode occurred resulting in patient taken to ER (Emergency Room) by Emergency Medical Services (EMS). Patient very nervous, shaking, and anxious about receiving vaccines. Patient received the following vaccines, Hep B, Polio, Varicella, HPV, meningococcal, and Tdap. A few minutes after receiving the vaccines, patient slumped in the chair, became pale in color, and patient was laid down. Patient started to respond to name and oriented x 3. Parent explained child hasn?t eaten any food since breakfast earlier today. 1:36 PM HR70, SAT 98% BP 98/60- 911 called, glucagon given. 1:40 PM HR 96, SAT 98%, BP 101/70 Patient responding to verbal commands, oriented x3, alert. 1:44 PM HR 109, SAT 97%, BP 92/60 Patient complained of nausea, no vomiting. 1:47 PM EMS arrival to site 1:49 PM HR 109, SAT 97%, BP 102/70, BS 102. Patient accompanied by her mother was taken to ER by EMS.

Current illness

NA

Medical history

NA

Other medications

NA

Allergies

NA

Lab data

6/23/2025 9:22 am Phone call to mother- states Pt got discharge after an hour from ER. Pt is doing well and they are getting ready to go to the airport to travel.