Report #2866670

Received Oct 17, 2025

Office 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: Female
Age: 9 yrs
State: —
Recovered: Recovered
Vaccinated: Oct 17, 2025
Onset: Oct 17, 2025
Days to onset: 0
Hospital days: —

Vaccines (5)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUCELVAX)	SEQIRUS, INC.	UNK	406987	IM / LA
HEP	HEP B (ENGERIX-B)	GLAXOSMITHKLINE BIOLOGICALS	UNK	9n9py	IM / RA
HEPA	HEP A (HAVRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	273h3	IM / LA
IPV	POLIO VIRUS, INACT. (IPOL)	SANOFI PASTEUR	UNK	y1a212m	SC / LA
TDAP	TDAP (ADACEL)	SANOFI PASTEUR	UNK	u8564aa	IM / RA

Symptoms (2)

DizzinessPallor

Symptom narrative

After administering the vaccines patient felt dizzy and looked paled. Both feet elevated, Wet compress placed on forehead. Fan placed on patient. juice given to patient. Vital signs 98/64, 84, 26 temp 98.6. After 10 mins patient felt better. denies dizziness at this time. Dad given instructions to call EMS if any problems at home.