Report #2866662

Received Oct 17, 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: 5 yrs
State: ME
Recovered: Recovered
Vaccinated: Oct 17, 2025
Onset: Oct 17, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLULAVAL)	GLAXOSMITHKLINE BIOLOGICALS	N/A	4D255	IM / LA

Symptoms (8)

DyskinesiaEye movement disorderFallFlushingPresyncopeSkin discolourationSkin warmTachycardia

Symptom narrative

Child tolerated injection well. Within 1-2 minute child's eyes looked up and fell over, another staff member preventing the child's head from hitting the floor. Very brief jerky movements in arms, skin flushed and warm, dusky green-tinged circumoral coloring. radial pulse tachycardic. Child responded to voice and touch within 5-10 seconds. Child denied symptoms except for not feeling well, but was visibly sluggish and shaky. Approx 15 min total until symptoms resolved with juice and rest. Medical Director consulted via phone with assessment given- likely vasovagal response. Parents contacted personal pediatrician for follow up guidance.

Current illness

School staff report child extra quiet and subdued this morning, prior to vaccination clinic

Medical history

Not aware of any

Other medications

Not aware of any

Allergies

Not aware of any

Lab data

Not aware of any