Report #2859995

Received Sep 19, 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: NY
Recovered: Recovered
Vaccinated: Sep 16, 2025
Onset: Sep 16, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUCELVAX)	SEQIRUS, INC.	1	406959	IM / RA
HPV9	HPV (GARDASIL 9)	MERCK & CO. INC.	1	Y012776	IM / LA

Symptoms (4)

FallPresyncopeSkin lacerationUnresponsive to stimuli

Symptom narrative

Within 10 minutes of vaccination the patient had a vasovagal response falling forward from the exam table. The episode was witnessed by the nurse and the patients father. He was responsive again within 3 minutes. He sustained a small cut above his right eye.

Current illness

none

Medical history

none

Other medications

none

Allergies

none

Lab data

none