Report #2847205

Received Jun 25, 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: 12 yrs
State: OH
Recovered: Recovered
Vaccinated: Jun 25, 2025
Onset: Jun 25, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
MNQ	MENINGOCOCCAL CONJUGATE (MENQUADFI)	SANOFI PASTEUR	UNK	U8369BA	SYR / RA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	XN575	SYR / RA

Symptoms (2)

FallLoss of consciousness

Symptom narrative

AFTER GETTING THE 2ND SHOT, PT PASSED OUT FORWARD OFF THE EXAM TABLE.

Current illness

NONE

Medical history

NONE

Other medications

N/A

Allergies

N.K.D.A

Lab data

N/A