Report #2862104

Received Sep 29, 2025

ER / ED 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: IL
Recovered: Unknown
Vaccinated: Sep 17, 2025
Onset: Sep 17, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
HPV9	HPV (GARDASIL 9)	MERCK & CO. INC.	1	—	IM / LA
MNQ	MENINGOCOCCAL CONJUGATE (MENVEO)	NOVARTIS VACCINES AND DIAGNOSTICS	1	—	IM / RA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	6	—	IM / LA

Symptoms (8)

Abdominal painDizzinessEye movement disorderHeadacheLoss of consciousnessMusculoskeletal stiffnessPallorSeizure like phenomena

Symptom narrative

Pt ambulates into office for routine and recommended vaccines for an 11 year old. Pt is UTD on all prior vaccines. TDAP and HPV are administered into left arm. Pt asked for a minute and then said he was ready for next vaccines (Menveo and Bexero). Menveo is administered first into right arm and pt starts c/o a headache. Vaccine was administered and bandage applied. As grabbing Bexero to administer, pt again c/o of a headache and became very pale. Pt's eyes rolled back into his head and had a LOC. Mother was able to catch pt's head while RN supported legs. Pt became very stiff and became conscious. Pt was confused and c/o a headache, lightheaded, and abd pain. Mother believed that pt had seizure activity. EMS is called and vitals are obtained. Vitals WNL. Pt is AOx3 within 2 minutes after gaining conscious. Denies hitting head. Denies any hx of seizures. EMS arrives on scene and family signs an AMA and drives to local ED after.

Current illness

n.a

Medical history

n.a

Other medications

n.a

Allergies

n.a