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Report #2856687

Received Sep 3, 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
Female
Age
4 yrs
State
PA
Recovered
Recovered
Vaccinated
Aug 21, 2025
Onset
Aug 21, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
DTAPIPVDTAP + IPV (QUADRACEL)SANOFI PASTEUR5U8209CBIM / LA
MMRVMEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.2Y019174IM / RA

Symptoms (4)

FatigueHypotoniaLethargyPallor

Symptom narrative

patient sat very still during the vaccines did not move, did not cry or anything. Once the second vaccine was finished she went to get off the table and mom had helped her and she went "limp" mom put her back on table and patient was "lethargic", we did get provider who was trying to arouse patient, but she was still very fatigued and also very pale for approx 5 minutes. Provider placed cool compress on patient neck she was given apple juice and crackers and she sipped on the juice and took small bites of the crackers. she sat for sometime after drinking and taking small bites of the crackers.

Medical history

WAS DX WITH HEART MURMUR

Allergies

na

Lab data

patient was referred back to cardiology for the heart murmur