VAERS Explorer
Back to explore

Report #2834666

Received Apr 8, 2025

ER / ED visit
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
12 yrs
State
CA
Recovered
Recovered
Vaccinated
Apr 4, 2025
Onset
Apr 4, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS1—IM

Symptoms (3)

FallHead titubationTremor

Symptom narrative

The patient received the immunization without an issue. While the patient was waiting afterwards, the patient fell onto the ground for a brief period. There was some shaking noted in the arm and head. Per RN on the scene, there was no evidence of head trauma. After the event, the patient denied any complaints. The patient was positioned in a place of comfort and given water. 911 was called, the EMS responded and arrive on the scene. After talking with the paramedics, the parent decided to take the patient to a urgent care rather than being transported by ambulance to the ED.

Current illness

Denies

Medical history

Denies

Other medications

Not Know

Allergies

Denies

Lab data

Unknown