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Report #2863495

Received Oct 6, 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
NH
Recovered
Recovered
Vaccinated
Oct 6, 2025
Onset
Oct 6, 2025
Days to onset
0
Hospital days
—

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALS49JC49IM / RA
HPV9HPV (GARDASIL 9)MERCK & CO. INC.1Y018416IM / LA
MNQMENINGOCOCCAL CONJUGATE (MENQUADFI)SANOFI PASTEUR1U8574AAIM / LA

Symptoms (6)

DizzinessFallHead injuryHyperhidrosisMuscular weaknessPallor

Symptom narrative

Patient had vaccines administered, sat with medical assistant for about 5 minutes. Shortly after walking out of the room and was headed to check out, patient became weak in the knees and started to lean against the wall while walking. Roughly 2 minutes he fell forward, hit the right side of his head on the corner of the window and landed on the floor. Patient was unaware of surroundings at the time he came too. Patient was very sweaty and pale in the face, at the time patient stated he was dizzy while sitting on the floor. After 5 minutes on the floor we were able to move him to a room and have him lie down with his knees bent. Applied cool packs to his neck and head. After about 10 minutes of lying on the table was able to sit up without any concerns, then about 5 minutes after sitting he was able to safely walk out of the office.

Current illness

No recent or previous illness at time of visit

Medical history

No chronic or long-standing health conditions

Other medications

No medications or vitamins

Allergies

No known allergies