Report #2874401

Received Nov 24, 2025

ER / 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: 13 yrs
State: TN
Recovered: Recovered
Vaccinated: Nov 8, 2025
Onset: Nov 8, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU4	INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT)	GLAXOSMITHKLINE BIOLOGICALS	1	5R4CY	IM / LA

Symptoms (4)

Musculoskeletal stiffnessSeizureTremorUnresponsive to stimuli

Symptom narrative

Systemic: Fainting / Unresponsive-Medium, Systemic: Seizure-Medium, Additional Details: Patient received vaccine and immediately lent forward and was caught by the immunizer. The patient then began to shake and extremities became rigid. That lasted for about 15-30 seconds. The patient then came to and was placed on the ground with legs elevated. Monitored Blood pressure, heart rate and breathing. After about 30 mins, patient was escorted to her car and mom was taking her to the emergency room for evaluation.