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Report #2870274

Received Nov 3, 2025

HospitalizedER / ED 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
16 yrs
State
VA
Recovered
Not recovered
Vaccinated
Oct 31, 2025
Onset
Oct 31, 2025
Days to onset
0
Hospital days
1

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSN/AN9CS2IM / LA
HPV9HPV (GARDASIL 9)MERCK & CO. INC.3Y013768IM / RA
MNPMENINGOCOCCAL CONJUGATE (PENMENVY)GLAXOSMITHKLINE BIOLOGICALS25S723IM / LA

Symptoms (3)

Head injuryLoss of consciousnessProduct preparation issue

Symptom narrative

Two Separate Events Occurred - The Penmenvy when given was only given as the liquid component, there fore the patent only received the Meningococcal B version of the vaccine. After discovering this error occurred on 11/3, the health care facility called the patient's guardian to let them know and have the patient come back in for re-vaccination per our MD. During the phone call, the patient's mother disclosed that at approximately 7pm on 10/31/25 after the vaccinations were administered, the patient lost consciousness, hit her head and had to be transported to the hospital via ambulance and was admitted for 1 day. Unsure of what the hospital state as the cause or any follow up as my clinic is not connected to hospital system. Mom stated patient is home now as of 11/3/25 but still out of it.

Current illness

Unknown

Medical history

Unknown

Other medications

N/A

Allergies

None

Lab data

Unsure