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Report #2869780

Received Oct 31, 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
12 yrs
State
CO
Recovered
Recovered
Vaccinated
Oct 29, 2025
Onset
Oct 29, 2025
Days to onset
0
Hospital days
—

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
IPVPOLIO VIRUS, INACT. (IPOL)SANOFI PASTEUR4Y1A212MIM / LA
MMRVMEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.2Z012111SC / LA
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS59JT4SIM / LA

Symptoms (2)

NauseaVomiting

Symptom narrative

Post vaccine administration of the three vaccines, client c/o of nausea and experienced vomiting. Approximately, 1-2 minutes post vaccine administration. Pt monitored for 30 minutes post vaccine administration. Vitals and airway sounds stable and clear. Provided client a snack and water. Approximately 30 minutes post vaccine administration client states resolution of symptoms.

Current illness

MOC states pt's family was experiencing "a cough that would not go away."

Medical history

None identified

Other medications

None

Allergies

None known

Lab data

N/A