Report #2872533

Received Nov 13, 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: Male
Age: 16 yrs
State: VA
Recovered: Recovered
Vaccinated: Nov 11, 2025
Onset: Nov 11, 2025
Days to onset: 0
Hospital days: —

Vaccines (7)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052668	IM / LA
HEP	HEP B (ENGERIX-B)	GLAXOSMITHKLINE BIOLOGICALS	2	7993Z	IM / LA
HPV9	HPV (GARDASIL 9)	MERCK & CO. INC.	2	Y019751	IM / RA
IPV	POLIO VIRUS, INACT. (IPOL)	SANOFI PASTEUR	2	Y1D03P1	IM / RA
MMR	MEASLES + MUMPS + RUBELLA (MMR II)	MERCK & CO. INC.	2	Y019931	SC / LA
TD	TD ADSORBED (TENIVAC)	SANOFI PASTEUR	1	U8492BA	IM / LA
VARCEL	VARICELLA (VARIVAX)	MERCK & CO. INC.	2	Z010437	SC / RA

Symptoms (6)

DyspnoeaPainPruritusRash macularUrticariaWheezing

Symptom narrative

1 hour after vaccines administered he had hives developing on his neck and upper torso and itchy red skin. He was given benadryl 50mg and after another hour of monitoring symptoms worsening. He started to have difficulty breathing, and wheezing. Epi pen administered and he was transported to ER. He had follow up appointment the next day with NP and was stable. He felt sore from the vaccines and subsequent reaction.

Current illness

None

Medical history

None

Other medications

None

Allergies

Beef and Pork

Lab data

None