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Report #2859365

Received Sep 17, 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
Male
Age
11 yrs
State
—
Recovered
Recovered
Vaccinated
Sep 16, 2025
Onset
Sep 16, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
MNQMENINGOCOCCAL CONJUGATE (MENQUADFI)SANOFI PASTEUR1U8600AAIM / RA
TDAPTDAP (ADACEL)SANOFI PASTEUR1U8670BAIM / RA

Symptoms (6)

Altered state of consciousnessFallFatigueHyperhidrosisMalaiseNausea

Symptom narrative

Patient presented to office today 9/16/25 for nurse visit for an Adacel and Meningitis vaccine. Patient was sitting on the table in room 16, both vaccines given in right deltoid and writer had patient wait a few minutes. Upon checkout at the front desk, PSA came back and alerted nursing staff patient was not feeling well. Writer went out to waiting room to see dad holding patient as he was falling down. Patient did not hurt any body part upon falling. Writer and RN assisted patient down and onto his side, eventually onto his back. Patient stated he felt like he had a dream and did not know what happened. Patient stated he was tired a little and was nauseated and sweaty. Pillow brought for under his head, ice pack for back of his neck and water. Pulse ox applied which read HR 68 and not thready, and O2 100%. Apple Juice, water and fruit snacks brought out to patient and when he was feeling better, he was brought back to room 16, laid down on the table pillow under his head with icepack for neck and pillows to elevate legs. Dr was present, listened to his heart and breathing. BP checked at 1605 108/72, HR 83, O2 99%. Patient given the rest of Apple Juice and fruit snacks and laid down for another 10 minutes. Rechecked BP again at 1615 BP 106/70, HR 78, O2 100%. Spoke with Dr, she stated have him sit up another 10 minutes, have some water and he can be discharged home. Patient waited the 10 minutes and then stood up slowly, writer observed, no dizziness, per patient and he stated he felt fine. Per Dr, no soccer practice tonight, dad understood and agreed. Advised dad to call with any issues or concerns.

Current illness

none

Medical history

none

Other medications

none

Allergies

none

Lab data

none