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Report #2856349

Received Sep 1, 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
NC
Recovered
Recovered
Vaccinated
Aug 24, 2025
Onset
Aug 24, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
MNQMENINGOCOCCAL CONJUGATE (MENQUADFI)SANOFI PASTEUR1u8438aaIM / LA

Symptoms (8)

Confusional stateDizzinessFlushingGait disturbanceHyperhidrosisHypotensionSyncopeUnresponsive to stimuli

Symptom narrative

Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Additional Details: Pt became confused stumbling upon walking out of vaccination room. Immunizer asked pt to sit, who then became unresponsive and fainted. RPh on duty was called over to administer first aid. He was lowered to the ground and legs placed on a chair. He was pale and clammy and BP ranged between 90/60 to 68/40. EMS was called and within 20 mins he regained color and was able to respond and remember details such as name and school grade. , Other Vaccines: VaccineTypeBrand: boostrix; Manufacturer: GSK; LotNumber: H4K3S; Route: IM; BodySite: left arm; Dose: 1; VaxDate: 08/24/2025

Allergies

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