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Report #2851320

Received Jul 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
11 yrs
State
CA
Recovered
Recovered
Vaccinated
Jul 25, 2025
Onset
Jul 25, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS1PG3RPIM / LA

Symptoms (2)

Feeling coldLoss of consciousness

Symptom narrative

The vaccination was given, the young man, went to stand up to leave after the IZ card was filled out, sat back down and passed out. His father was present. The nurse put an ice pack on his neck under the right ear, and he was laid down on the floor with legs over heart slightly, 911 called, small sip of water given with 2 small packets of sugar added because he hadn't eaten anything all day. A light cover was placed over his arms because he was cold when he started to be clearer. He remained laying down until the paramedics arrived and they took him to the ambulance. At that time, he was alert, able to follow commands, and answer questions in English and speak to his father in their native language.

Current illness

no

Medical history

no

Other medications

no

Allergies

no

Lab data

none