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Report #2872676

Received Nov 13, 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
Male
Age
16 yrs
State
CO
Recovered
Unknown
Vaccinated
Nov 12, 2025
Onset
Nov 12, 2025
Days to onset
0
Hospital days
—

Vaccines (7)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNAUNK3052668IM / LA
FLU3INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSUNK2NG23IM / RA
HEPAHEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALS1MB599IM / RA
HPV9HPV (GARDASIL 9)MERCK & CO. INC.1Y018416IM / RA
IPVPOLIO VIRUS, INACT. (IPOL)SANOFI PASTEURUNKY1A212MIM / LA
MNQMENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICS19549BIM / RA
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSUNK4K7JPIM / LA

Symptoms (2)

HypotoniaLoss of consciousness

Symptom narrative

Patient to receive 10 vaccines due to need to catch up on vaccines and Flu and COVID. Nurse number 1 was giving vaccines on patients right arm; Nurse #2 was giving vaccines on the left arm. When nurse #1 gave the 5th shot (HPV) on the right arm, patient slumped down. The nurses gently got patient to floor, elevated his legs, he felt better within seconds, patient stated "he dreamt for a few seconds, then woke up". Vital signs were monitored and he was kept on the floor with his feet elevated. He was given water and offered gummy fruit snacks which he took and fed himself. FOC was called, as he worked nearby. The school nurse and Nurse #2 explained the incident to the FOC. Also, advised him that the patient did not receive 2 vaccines (MMR & varicella). FOC declined further vaccine administration after incident.

Current illness

unknown

Medical history

none known

Other medications

none known

Allergies

none known

Lab data

None