Mom gives history that about 10 minutes after the vaccine was given, child complained of being hot , nauseous, got up the exam table and then fell down on the floor. Mother started screaming and medical assistant and myself rushed into the room, Child was on the floor, looked drowsy but was able to answer all questions. EMS was called before I went in , paramedics came and assessed. No recommendations were made to take her to ER by them. BP was normal- 109/75, Heart rate 99, o2 sat was 99. Child was observed for 30 minutes, water was given. Then discharged home. Child has had Flu shots before in another state from where had moved in August 2024 and never had any reaction to any vaccines