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Report #2850717

Received Jul 22, 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
12 yrs
State
NC
Recovered
Recovered
Vaccinated
Jul 22, 2025
Onset
Jul 22, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSN/ADY3K7IM / LA

Symptoms (4)

DizzinessHyperhidrosisLoss of consciousnessPresyncope

Symptom narrative

Patient had Vasovagal response. Patient passed out near check out window ie became sweaty and dizzy and passed out. Reports did not eat anything for breakfast. Patient given cold pack, cool air, sucker, time to rest. Vital Signs were stable. Within 10 minutes patient reported feeling normal and ambulated out of clinic

Current illness

na

Medical history

na

Other medications

na

Allergies

none

Lab data

na