Report #2879997

Received Dec 30, 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: Male
Age: 9 yrs
State: CO
Recovered: Unknown
Vaccinated: Dec 30, 2025
Onset: Dec 30, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUCELVAX)	SEQIRUS, INC.	1	407002	IM / RA

Symptoms (3)

HypotoniaInjection site painTremor

Symptom narrative

Patient received vaccine in the right arm - said that it stung a little/light burning - patient then started to shake a little and then went limp. The patient was then picked up to prevent any falling then place in a chair until 911 responders came. Patient was evaluated and then taken to hospital from location

Current illness

None

Medical history

None

Other medications

None

Allergies

None