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Report #2894971

Received Apr 30, 2026

Office visit

Reports are unverified and do not show that a vaccine caused an event. Full disclaimer

Overview

Sex
Male
Age
11 yrs
State
NY
Recovered
Unknown
Vaccinated
Apr 27, 2026
Onset
Apr 27, 2026
Days to onset
0
Hospital days
—

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
HPV9HPV (GARDASIL 9)MERCK & CO. INC.UNKz004474IM / RA
MNQMENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICSUNKN4TY2IM / LA
TDAPTDAP (ADACEL)SANOFI PASTEURUNK5iv9l9IM / LG

Symptoms (5)

ErythemaLoss of consciousnessPain in extremityPeripheral swellingTenderness

Symptom narrative

Patient developed swelling , pain and redness on the left arm. Patient was seen in ED on 04/28/2026. Patient was discharged on Benadaryl and Motrin and Tylenelol. During examination at Health Center on 04/29/2026 ,his left arm was swollen , red. and tender. patient passed out.(Syncopial episode ) Patient's vital were normal and EMS was called and transferred to ED.

Lab data

Not available yet