Report #2869398

Received Oct 29, 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: 11 yrs
State: CO
Recovered: Recovered
Vaccinated: Oct 27, 2025
Onset: Oct 27, 2025
Days to onset: 0
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUARIX)	GLAXOSMITHKLINE BIOLOGICALS	2	2NG23	UN / UN
HEPA	HEP A (HAVRIX)	GLAXOSMITHKLINE BIOLOGICALS	2	MB599	IM / UN
HPV9	HPV (GARDASIL 9)	MERCK & CO. INC.	2	Y018416	IM / UN
VARCEL	VARICELLA (VARIVAX)	MERCK & CO. INC.	2	Y011017	SC / UN

Symptoms (2)

HypotoniaPallor

Symptom narrative

Patient recieved vaccines at a vaccine clinic event that was hels at her school. After recieving immunizations the patient lost color in her face ane eyes closed as she slumped down in the chair. She was caught by her mother, sister and the nurse doing the vaccination. (This writer was not the vaccinator) Patient was placed in the tredelenburg position until her color returned and was feeling more like herself. MOC stated that this same thing happened the last time that she recieved vaccines. Once recovered MOC was given 'After the Shots' hand out with instructions to follow incase the patint were to have other problems once at home.

Current illness

None known

Medical history

N/A

Other medications

None known

Allergies

NKDA or food allergies

Lab data

BP, RR & pulse Ox were all WNL during the incident.

Prior vaccinations

Same reaction last time recieved HPV with other vaccines