Received Sep 11, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| MNQ | MENINGOCOCCAL CONJUGATE (MENQUADFI) | SANOFI PASTEUR | 2 | U8574AA | IM / RA |
THIS PATIENT HAD A MILD SEIZURE WITH LOSS OF CONSCIOUSNESS FOR APPROXIMATELY 5 SECONDS. HE SLUMPED TO THE FLOOR SLOWLY, ALMOST IMMEDIATELY AFTER THE VACCINE WAS ADMINISTERED TO HIS RIGHT DELTOID MUSCLE.
NONE ACCORDING TO SCREENING QUESTIONAIRE FOR IMMUNIZATIONS THAT PARENT SIGNED
SAME ANSWER AS ABOVE
UNKNOWN
NONE ACCORDING TO FATHER
NONE REPORTED