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Report #2853612

Received Aug 11, 2025

Office 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
14 yrs
State
MO
Recovered
Unknown
Vaccinated
Aug 11, 2025
Onset
Aug 11, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
MNQMENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICSUNKDL4YYIM / RA
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSUNK95P4MIM / LA

Symptoms (9)

Blood glucoseElectrocardiogramEye movement disorderHyperhidrosisLoss of consciousnessMuscle contracturePallorPosture abnormalTremor

Symptom narrative

Approximately 10 minutes after both vaccines were administers, observed patient have a possible seizure, head was back, eyes rolled to top, bilateral upper extremities contracted up, with visible tremors; this event lasted 15 to 30 seconds; had office staff call 911; patient regained consciousness: was A&O x4, person, place, time and situation. VS: 110/70 manual; LA sitting, AP 64, RR 16;PEERLA intact. Patient was pale, diaphoretic; did regain color. EMS arrived, took VS, EKG, BS; patient father declined medical transport, father stated he would transport to ED.

Current illness

None Reported

Medical history

None Reported

Other medications

None

Allergies

No Known Allergies

Lab data

VS: 110/70 L arm sitting manual, AP 64 RR 16; Neuro: PEERLA intact