Report #2824965

Received Feb 6, 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: 35 yrs
State: IN
Recovered: Recovered
Vaccinated: Feb 1, 2025
Onset: Feb 1, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	MC7HK	IM / LA

Symptoms (7)

Confusional stateDizzinessFlushingHyperhidrosisSyncopeTremorUnresponsive to stimuli

Symptom narrative

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Shakiness-Mild, Additional Details: Pattient checked in for Tdap, Flu, and Covid Vaccines. After the Flu and Tdap was administered, patient mentioned he may have had a fainting adverse reaction after receiving Tetanus vaccine in the past. The Covid vaccine was suspended to monitor for any reaction. Patient suddenly clenched his fists, shook and pushed his head backward against the wall of the immunization room. I called out for help and got the minute clinic nurse practitioner. Patient was confused, sweating and fainting., Other Vaccines: VaccineTypeBrand: FLUCELVAX; Manufacturer: SEQIRUS; LotNumber: 391416; Route: INTRAMUSCULAR; BodySite: LEFT ARM; Dose: ; VaxDate: UNKNOWN