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Report #2851633

Received Jul 29, 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
13 yrs
State
KS
Recovered
Recovered
Vaccinated
Jul 28, 2025
Onset
Jul 28, 2025
Days to onset
0
Hospital days
—

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
HPV9HPV (GARDASIL 9)MERCK & CO. INC.1Z005469IM / LA
MNQMENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICS1D2343IM / LA
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS6EB499IM / RA

Symptoms (2)

FallTooth fracture

Symptom narrative

Patient was given the immunizations patient was talking with nurse and mother for several minutes after the vaccines were given. Nurse turned her back and was at the sink in the room when she heard patient's mother say something. Nurse turned around and patient was falling face first onto the floor. Patient was rolled over by her mother and the nurse. Patient was alert and oriented X3. Patient was assisted up and given a cup of orange juice and a cool washcloth to help cool her down, and an ice pack for her forehead. Patient did report that she chipped her bottom tooth. PA-C did come back in the room and did an assessment of the patient after the incident.

Current illness

None

Allergies

NKDA