Covid and flu vaccines administered to patient following routine well visit. Patient seemingly tolerated vaccines well and walked out of the office on his own being accompanied by his parents. Patient and family only made it out to the elevator of our office building before patient was brought back to the exam room being carried by his father for reports of feeling nauseous and lightheaded. Patient looked visibly pale and noticeably fatigued. Patient was laid down on the exam table and offered some apply juice. Patient kept closing his eyes and reporting that he felt tired. Remained arousable. No respiratory distress. Patient was able to drink sips of juice and keep them down. Never had any vomiting. Primary care provider was brought to the bedside and examined patient. Vitals were checked, temperature was 98.3 orally, heart rate was around 65 and oxygen was 98% on RA. Patient developed some chills and was promptly covered up with mother’s jacket. Patient reported feeling “not too bad but not good.” Temp checked again and it was 99.7. Blood sugar 123. Patient monitored closely, continued to have the chills and kept resting his eyes but continued to respond to questions appropriately. Denied further nausea. Reported that his left arm was sore around the injection sites. Temp checked again and found to be 101.5 temporally and heart rate 112. Motrin administered and patient was swabbed for flu and covid which both came back negative. Patient remained in clinic being closely monitored by RN and MD. About 30 minutes after motrin administration, patient’s temperature was checked again and was 103 but patient visibly more alert, sitting upright and acting appropriately. Mother felt comfortable taking patient home and continuing to monitor for further fevers and other symptoms. Patient walked out of the office on his own, accompanied by his mother.