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Report #2862342

Received Sep 30, 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
Male
Age
11 yrs
State
WA
Recovered
Recovered
Vaccinated
Sep 29, 2025
Onset
Sep 29, 2025
Days to onset
0
Hospital days
—

Vaccines (4)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALS7+5EF45IM / RL
HPV9HPV (GARDASIL 9)MERCK & CO. INC.2Y015760IM / LA
MNQMENINGOCOCCAL CONJUGATE (MENQUADFI)SANOFI PASTEUR1U8573AAIM / RA
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS637R35IM / LA

Symptoms (4)

DyskinesiaLoss of consciousnessPosture abnormalSyncope

Symptom narrative

Patient received all four vaccines and then once the last one (HPV) was given, he fainted for 1-2 seconds. He slumped forward and mom and I helped lay him backwards, he did jerk a little bit. Parents and I helped him lay down completely once he gained consciousnesses. While laying, his vitals were taken and they were normal. Provided patient with water and goldfish crackers. Patient states that he did not eat any breakfast this morning and was extremely anxious prior to receiving the vaccines. He was stable before leaving the clinic.

Current illness

None

Medical history

GERD as an infant

Other medications

Albuterol PRN, Zyrtec PRN, Benadryl PRN, Multivitamin

Allergies

None