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Report #2851024

Received Jul 24, 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
MO
Recovered
Recovered
Vaccinated
Jul 22, 2025
Onset
Jul 22, 2025
Days to onset
0
Hospital days
—

Vaccines (4)

TypeNameManufacturerDoseLotRoute / Site
DTAPDTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALSUNK223Y9IM / LA
HEPAHEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSUNKH3N97IM / RA
IPVPOLIO VIRUS, INACT. (IPOL)SANOFI PASTEURUNKY1A201MIM / RA
MMRVMEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.UNKY009348SC / LA

Symptoms (2)

HypotoniaPallor

Symptom narrative

Client observed her older brother receiving his vaccinations after she was done. She was sitting in the same room beside her grandmother. As this nurse was administering her brother's last vaccination, client's grandmother started shouting. This nurse turned around to client on the floor partially sitting up but slumped down against the chair leg, eyes closed and pale skin. This nurse called out for help and then lifted client up onto the padded bench seat and she opened her eyes, she was able to answer questions properly regarding her name and who her grandmother is. Two other nurses came in to assist, bringing in a water bottle. Client's color started returning to her face, she was encouraged to take some deep breaths and also sip on the water. She stated she felt ok. After 15 minutes of recovery, client stated she felt fine and grandmother agreed they were ok to leave.

Current illness

n/a

Medical history

n/a

Other medications

unknown

Allergies

n/a

Lab data

N/A