Report #2839930

Received May 7, 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: Female
Age: 11 yrs
State: PA
Recovered: Recovered
Vaccinated: May 7, 2025
Onset: May 7, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
MNQ	MENINGOCOCCAL CONJUGATE (MENQUADFI)	SANOFI PASTEUR	1	U8558BA	IM / LA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	EB4999	IM / LA

Symptoms (5)

Blood pressure decreasedHyperhidrosisPallorSyncopeVisual impairment

Symptom narrative

Patient left immediately after vaccine administration and felt faint while checking out. Patient sat down in chart prior to fainting d/t black spots in vision. She became diaphoretic, pale, and had a drop in her blood pressure.

Current illness

None

Medical history

None

Allergies

None

Lab data

None

Prior vaccinations

Covid Pfizer peds 5-11 on 1/10/22; patient fainted following administration