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Report #2851336

Received Jul 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
Female
Age
12 yrs
State
FL
Recovered
Recovered
Vaccinated
Jul 26, 2025
Onset
Jul 26, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS6PG3RPIM / LA

Symptoms (3)

Face injuryFallSyncope

Symptom narrative

The client received the vaccine at 12:30pm and stood up and started to walk towards the door. The client then fainted, fell face first into the floor at 12:35pm. The client was laid flat and put her feet up and was given ammonia to smell and an ice pack. Clients' parents refused 911. Partents advised to follow up with primary care and to watch for signs of concussion.

Current illness

none

Medical history

none

Other medications

none

Allergies

none