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Report #2847418

Received Jun 26, 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
Male
Age
57 yrs
State
WI
Recovered
Recovered
Vaccinated
Jun 26, 2025
Onset
Jun 26, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
HEPAHEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALS1Z27PBIM / RA
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS29YB4GIM / LA

Symptoms (4)

Back injuryDizzinessFallVisual impairment

Symptom narrative

Patient had an episode of dizziness that lasted approximately 3-5 minutes and visual disturbances. This event was at 7:45 a.m. It caused him to fall into a piece of equipment and hurt his right-side mid back. At 07:48 BP was 152/88. He denied chest pain, shortness of breath and was not diaphoretic. He did state that he had not had anything to eat this morning. At 07:50 BP was 148/88, RR 16, Oxygen saturation was 99%, heart rate was 88. Patient was provided a snack and water. 07:55 he says that he is no longer dizzy and just says his back hurts. Ice was provided for his back.

Current illness

No

Medical history

High Cholesterol

Other medications

Unknown

Allergies

No known allergies.

Lab data

N/A

Prior vaccinations

Per patient he got sick from the flu shot in 2010. He has sense received Zoster, COVID, TDAP. He states that he had flu-like sy