Report #2839029

Received Apr 30, 2025

Office 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: 19 yrs
State: CA
Recovered: Recovered
Vaccinated: Apr 30, 2025
Onset: Apr 30, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
ANTH	ANTHRAX (BIOTHRAX)	EMERGENT BIOSOLUTIONS	1	300216A	IM / RA
JEV1	JAPANESE ENCEPHALITIS (IXIARO)	INTERCELL AG	1	JEV23K06E	IM / RA
TYP	TYPHOID VI POLYSACCHARIDE (TYPHIM VI)	SANOFI PASTEUR	1	X1A271M	IM / LA

Symptoms (4)

Face injuryFallLaboratory test normalLoss of consciousness

Symptom narrative

As the patient was receiving his oversea shots at 8:57 am he passed out and fell face flat into the ground in front of him from the sitting position. We proceeded to sternum rub him and pick him up to lay him down on the gurney. where he woke up after being out for 3 seconds at 8:58 am, He was seen by a provider and cleared of any TBI.

Current illness

NONE

Medical history

NONE

Other medications

NONE

Allergies

NONE

Lab data

MACE-2: NEGATIVE