Report #2857066

Received Sep 5, 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: 11 yrs
State: OR
Recovered: Recovered
Vaccinated: Sep 5, 2025
Onset: Sep 5, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
MNQ	MENINGOCOCCAL CONJUGATE (MENQUADFI)	SANOFI PASTEUR	1	U8508AA	IM / LA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	EB499	IM / RA

Symptoms (7)

DyspnoeaNauseaPallorPhotophobiaSkin burning sensationTremorVisual impairment

Symptom narrative

APPROXIMATELY 3 MINUTES AFTER VACCINE PATIENT REPORTED SYMPTOMS OF DARKENING VISION, SHAKING, NAUSEA, LIGHT SENSITIVITY, FACIAL PALLOR, BURNING SENSATION OF THE NOSE, INCREASED WORK OF BREATHING.

Current illness

No known

Allergies

No known allergies

Lab data

PATIENT HAD CLEAR LUNG SOUNDS, PULSE WAS MEASURED AND WAS NORMAL RATE AND RHYTHM, VITALS TAKEN WERE 86/68 WITH A PULSE OF 85 09/05/25 AT 9:38AM. EMS SERVICES CALLED AND EMS EVALUATED PATIENT THEY RECIVED A BLOOD PRESSURE OF 119/69 AT 9:45AM ON 09/05/25. SYMPTOMS FULLY RESOLVED BY THE TIME EMS HAD ARRIVED.