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Report #2866765

Received Oct 17, 2025

ER / ED visitOffice 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
11 yrs
State
IL
Recovered
Recovered
Vaccinated
Oct 13, 2025
Onset
Oct 13, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
MNQMENINGOCOCCAL CONJUGATE (MENQUADFI)SANOFI PASTEUR1U8574AAIM / RA
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS137F34IM / LA

Symptoms (7)

Blood glucoseComputerised tomogram headHead injuryLaboratory testLoss of consciousnessPain in extremityPallor

Symptom narrative

A few hours after vaccines were given in clinic, patient was shopping with her mother, when she complained of her left arm hurting, followed by pallor and loss of consciousness. She hit the back of her head on the floor due to loss of consciousness. She had brief jerking movements, followed by regained consciousness at which point she was alert and upset. Her mother immediately left the store and took her to the emergency room. She was evaluated with a head CT and other lab work and was discharged. She has fully recovered and denies any headaches or other symptoms of concussion. She reports bilateral upper arm pain but has a normal exam with full strength and range of motion.

Current illness

None

Medical history

None

Other medications

None

Allergies

None

Lab data

10/13/25-Head CT scan and lab work including blood glucose