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Report #2853475

Received Aug 10, 2025

ER / ED visit
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
12 yrs
State
TX
Recovered
Recovered
Vaccinated
Aug 10, 2025
Onset
Aug 10, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUBLOK)SANOFI PASTEUR1U8823CAIM / RA
MNQMENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICS1AMVB072AIM / RA

Symptoms (4)

Anaphylactic reactionHypopnoeaLoss of consciousnessUrticaria

Symptom narrative

Patient was administered the above vaccinations and within a few minutes, patient developed anaphylactic reaction which includes shallow breathing, hives and unconscious. I administered Epipen to the right thigh and within a few seconds, patient breathing was better and consciousness returned.

Current illness

Unknown

Medical history

Unknown

Other medications

Unknown

Allergies

Unknown