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Report #2876291

Received Dec 4, 2025

Office 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
11 yrs
State
IN
Recovered
Unknown
Vaccinated
Nov 21, 2025
Onset
Nov 21, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
MNQMENINGOCOCCAL CONJUGATE (MENQUADFI)SANOFI PASTEUR1U8573AAIM / LA
TDAPTDAP (ADACEL)SANOFI PASTEUR2U8274AAIM / LA

Symptoms (4)

Injection site bruisingInjection site erythemaInjection site swellingPain

Symptom narrative

Mom called the office on 11/24/25 and states pt's left upper arm was very swollen and red with bruising. She states the next day after injection his arm increased in redness, swelling, and bruising. Painful movement present to left arm.

Current illness

unknown

Medical history

allergic rhinitis, eczema

Other medications

Melatonin, Flonase, Flovent prn, Zyrtec

Allergies

pt had an allergy test done that day and egg white, hazelnut, peanut, sesame seed, and wheat= class 3 or 4, walnut, soybean, scallop, cashew, and almond = class 2

Lab data

no testing done after vaccines