Report #2852993

Received Aug 6, 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: 11 yrs
State: SD
Recovered: Recovered
Vaccinated: Aug 6, 2025
Onset: Aug 6, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
HPV9	HPV (GARDASIL 9)	MERCK & CO. INC.	2	y019751	IM / LA
MNQ	MENINGOCOCCAL CONJUGATE (MENACTRA)	SANOFI PASTEUR	1	u8438aa	IM / LA
TDAP	TDAP (ADACEL)	SANOFI PASTEUR	1	u8618aa	IM / RA

Symptoms (6)

FallFull blood countMetabolic function testPallorUnresponsive to stimuliVision blurred

Symptom narrative

Pt was given 3 vaccines. Was sitting on the exam table. After injections child states she felt fine and tolerated the injections well. Was not worked up or anxious about vaccines. Child and mother walked out of exam room and up to the front of the clinic. Child stated to her mother that her vision was blurry, then proceeded to fall backwards hitting the floor. Child unresponsive for a couple seconds, then responds to name. Pale in color. Child had eaten a good breakfast this am and has not been ill. Has not taken any medication. Child given juice and ice pack applied to her neck. child sat up slowly after 5-8 minutes. Child brought back to exam room, snack given and blood drawn. Lab work normal. Examined by nurse practitioner. Child feels fine and left clinic with mother.

Current illness

none

Medical history

RAD

Other medications

none

Allergies

Azithromycin Hydrogencitrate

Lab data

CBC, BMP