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Report #2824806

Received Feb 5, 2025

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
28 yrs
State
NV
Recovered
Recovered
Vaccinated
Feb 5, 2025
Onset
Feb 5, 2025
Days to onset
0
Hospital days
—

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH1LM7786IM / LA
FLU3INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR1UT8514JAIM / LA
IPVPOLIO VIRUS, INACT. (IPOL)SANOFI PASTEUR1Y1A201MSC / LA

Symptoms (3)

PallorSyncopeUnresponsive to stimuli

Symptom narrative

Patient received 3 immunizations (Polio, COVID, Flu). After receiving immunization, patient was leaving with other family member and fainted. Patients parent was able to catch the patient before hitting the ground. Able to take the patient back into the Immunization booth where patient was assessed. Code White was called within pharmacy, followed immediately by EMS as patient was very pale and not responding right away. Patient was sat on the floor with feet elevated. Pharmacist stayed with Patient, as well as management from pharmacy to assist with the event. Upon questioning the patient, patient had just recently given/had blood drawn prior to immunization, suffers from low blood pressure (per mother), as well as only had 1 slice of bread; all of which may have contributed to the adverse event. Paramedics came to pharmacy to assess patient. Patient felt much better by time paramedics came. Denied transport to hospital. Patient left pharmacy on their own free will with no help needed. Patient's parents was the driver.

Current illness

HISTORY OF HYPOTENSION

Medical history

HISTORY OF HYPOTENSION

Other medications

NONE

Allergies

NONE

Lab data

Unknown