Report #2847392

Received Jun 26, 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: Female
Age: 9 yrs
State: AR
Recovered: Recovered
Vaccinated: Jun 25, 2025
Onset: Jun 25, 2025
Days to onset: 0
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
IPV	POLIO VIRUS, INACT. (IPOL)	SANOFI PASTEUR	2	X1C891M	IM / RA
IPV	POLIO VIRUS, INACT. (IPOL)	SANOFI PASTEUR	2	X1C891M	IM / RA
TDAP	TDAP (ADACEL)	SANOFI PASTEUR	2	3CA33C1	IM / LA
TDAP	TDAP (ADACEL)	SANOFI PASTEUR	2	3CA33C21	IM / LA

Symptoms (3)

HeadacheLoss of consciousnessSeizure like phenomena

Symptom narrative

Child received Tdap and polio and approximately 5 minutes after vaccination mother and child walked to checkout, and child passed out briefly but also noticed seizure like activity. Sister was also present at time of event and also verified patient did not hit head. Patient fell on chair and slid down wall to floor. Also, patient stated when aroused she had a headache prior to passing out. Parent was encouraged to take child to PCP after appointment for follow up. Patient was stable leaving with mother and no longer had a headache.

Current illness

none

Medical history

none

Other medications

n/a

Allergies

nkda

Lab data

N/A