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Report #2847421

Received Jun 26, 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
Male
Age
15 yrs
State
AL
Recovered
Recovered
Vaccinated
Jun 26, 2025
Onset
Jun 26, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
MNQMENINGOCOCCAL CONJUGATE (MENQUADFI)SANOFI PASTEUR1U8369BAIM / LA
VARCELVARICELLA (VARIVAX)MERCK & CO. INC.2Y015108SC / LA

Symptoms (4)

Cold sweatDizzinessEye movement disorderPallor

Symptom narrative

15 year old male patient presented today for vaccine administration. Received Meningococcal (left deltoid) and varicella (left arm) at 1333 while seated. While sitting in chair after administration, patient became pale. Asked patient how he was feeling, he stated- dizzy. At 1337, His eyes began to roll back and head started to bobble. I helped patient to the floor and called for additional nursing staff. Once on the floor patient began to speak and said he was okay. Patient's aunt (who was in the room and translating) asked patient if he had eaten anything today and he stated no. Patient given cool rags and granola bar to eat along with water. After 15 mins, patient moved from floor back to chair and allowed to eat a popsicle. Patient skin returned to normal color. Patient reported no longer feeling dizzy. At 1405, patient allowed to leave with Aunt, who was advised to have patient eat a meal and to take patient to ER and/or follow up with pediatrician should any other events occur. Patient and aunt acknowledged and verbalized understanding. Vitals: 1337- episode 1342- 110/75, HR 83 Skin clammy, RR 14 1347- 113/80 HR 83, RR 14 1352- 119/82 HR 108 RR 14 1357- 116/69 HR 85 RR 14 1402- 114/67 HR 83 RR 14 Skin warm and dry.

Current illness

None

Medical history

Migraines

Other medications

n/a

Allergies

n/a

Lab data

Vitals: 1337- episode 1342- 110/75, HR 83 Skin clammy, RR 14 1347- 113/80 HR 83, RR 14 1352- 119/82 HR 108 RR 14 1357- 116/69 HR 85 RR 14 1402- 114/67 HR 83 RR 14 Skin warm and dry.