Report #2846703

Received Jun 20, 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: 20 yrs
State: CA
Recovered: Unknown
Vaccinated: Jun 19, 2025
Onset: Jun 19, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAP	DTAP (INFANRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	PD324	SYR / LA
MNQ	MENINGOCOCCAL CONJUGATE (MENVEO)	NOVARTIS VACCINES AND DIAGNOSTICS	1	Z92L4	SYR / LA

Symptoms (6)

Confusional stateDisorientationDizzinessGaze palsyLaboratory testSeizure

Symptom narrative

Patient stood up from the vaccine administration area, walked to the counter to obtain the paperwork and then looked at me and said, ?am I pale? I think I?m going to pass out.? She then crumpled into my arms. I took her to the ground ? her eyes were rolled back in her head. I tried to wake her. She then had a small convulsion/seizure. When she awoke she was confused and disoriented.

Current illness

None

Medical history

Asthma

Other medications

None

Allergies

Penicillin

Lab data

Pharmacy called 911 and the fire and medics came. They ran tests and offered to transport her to the hospital, she refused. They said her vitals were within normal range. The hospital recommended she go to the emergency department for further evaluation.