Report #2852852

Received Aug 5, 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: 21 yrs
State: —
Recovered: Unknown
Vaccinated: Aug 5, 2025
Onset: Aug 5, 2025
Days to onset: 0
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
HEP	HEP B (HEPLISAV-B)	DYNAVAX TECHNOLOGIES CORPORATION	2	945663	IM / LA
HPV9	HPV (GARDASIL 9)	MERCK & CO. INC.	1	Y007197	IM / RA
MMR	MEASLES + MUMPS + RUBELLA (MMR II)	MERCK & CO. INC.	1	Y07528	IM / LA
VARCEL	VARICELLA (VARIVAX)	MERCK & CO. INC.	1	Z002625	IM / RA

Symptoms (5)

DyskinesiaElectrocardiogram normalLoss of consciousnessMusculoskeletal stiffnessPallor

Symptom narrative

Patient was screened for vaccine eligibility; on VAR she had selected "no" for all questions. Patient had no questions or concerns as she has been fine with all vaccines prior. Started with immunizations on left arm, administered MMR and Heplisav-B and the patient had no issues at this time. Then proceeded with giving the remaining 2 immunizations on the right arm. Administered the Varicella first on the right arm and patient was still fine then proceeded with the Gardasil on the right arm as well. Almost immediately after Gardasil administration patient went pale, went unconscious and jerked back, muscles went stiff with some jerking motions.

Medical history

None listed

Other medications

d-amphetamine ER 20mg, midodrine 5mg, cromolyn sodium 100/5ml,

Allergies

None