Report #2855967

Received Aug 28, 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: Male
Age: 12 yrs
State: WA
Recovered: Recovered
Vaccinated: Aug 26, 2025
Onset: Aug 26, 2025
Days to onset: 0
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
HEPA	HEP A (HAVRIX)	GLAXOSMITHKLINE BIOLOGICALS	2	42DM9	IM / RA
HPV9	HPV (GARDASIL 9)	MERCK & CO. INC.	2	Y012864	IM / LA
MNQ	MENINGOCOCCAL CONJUGATE (MENQUADFI)	SANOFI PASTEUR	1	U8508AA	IM / LA
TDAP	TDAP (ADACEL)	SANOFI PASTEUR	1	U8252AA	IM / RA

Symptoms (4)

Blood pressure orthostatic increasedPosture abnormalPresyncopeUnresponsive to stimuli

Symptom narrative

After receiving the fourth vaccine (meningococcal) patient appeared to have a vasovagal response (head nodding, unresponsive) for 5-10 seconds.

Current illness

unknown

Medical history

unknown

Other medications

unknown

Allergies

no known allergies

Lab data

Q5 BP taken for 25 minutes all within normal range. Pt monitored for 60 minutes. Orthostatic BP elevated but decreased after 5 minutes standing.