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Report #2862771

Received Oct 2, 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
Female
Age
13 yrs
State
MO
Recovered
Recovered
Vaccinated
Oct 1, 2025
Onset
Oct 1, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
MNQMENINGOCOCCAL CONJUGATE (MENQUADFI)SANOFI PASTEUR1U8375ABIM / LA
TDAPTDAP (ADACEL)SANOFI PASTEUR1U8122AAIM / LA

Symptoms (5)

DizzinessEye movement disorderMuscle spasmsPallorSyncope

Symptom narrative

Within approximately 15 seconds of administration of Tdap, patients eyes rolled back in head and she fainted and has muscle spasms of the extremities . Laid her down on table and put her legs up. She recovered within approximately 15-20 seconds. Sat her up and gave her cold water to drink and a cold wet wash cloth to wipe her face. Her lips and face were very pale. She denied any shortness of breath, itching , throat tightness, did report she felt lightheaded. No wheezing noted, heart rate regular at 68, blood pressure 112/58. After a few minutes she felt ready for the meningococcal vaccine which was administered in in same arm per patient request. Father was present in room during entire episode. Got up and walked about the room. Monitored for approximately 25 minutes. Patient and father felt ok to go home. Advised to skip softball, go home and take it easy for remainder of the day and to report any unusual Symptoms to parents right away.

Current illness

Unknown

Medical history

None noted

Other medications

unknown

Allergies

NKA

Lab data

None