Report #2854144

Received Aug 14, 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: 5 yrs
State: NC
Recovered: Unknown
Vaccinated: Aug 14, 2025
Onset: Aug 14, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPIPV	DTAP + IPV (QUADRACEL)	SANOFI PASTEUR	5	z008501	IM / LA
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	2	u8009ab	SC / LA

Symptoms (5)

Head injuryMusculoskeletal stiffnessSeizure like phenomenaSyncopeUnresponsive to stimuli

Symptom narrative

Pt. became unresponsive, collapsed and presented seizure like activity (stiffening of body) for approx. 2 seconds post vaccination. Pt. had received both vaccines approx. 20 minutes prior to event. Pt sustained a minor head injury ( redness/ swelling ) from fall. Pt. condition stabilized and Emergency room visit declined by mother. Mother advised to closely monitor in case pt condition deteriorates. MOC understands when to seek emergency care.

Current illness

No illnesses at the time of vaccination.

Medical history

No known health conditions.

Other medications

No medications taken.

Allergies

No known allergies