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Report #2853688

Received Aug 11, 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
21 yrs
State
IN
Recovered
Recovered
Vaccinated
Aug 11, 2025
Onset
Aug 11, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (ADACEL)SANOFI PASTEUR4U8503AAIM / LA

Symptoms (9)

AnxietyBlindnessConfusional stateDizzinessHyperhidrosisLoss of consciousnessNauseaPallorUrinary incontinence

Symptom narrative

DONOR LOST VISION, INCONINENT OF BLADDER, PALLOR, LOC <30 SECONDS, ANXIETY, CONFUSION, SWEATY, DIZZINESS. DONOR SISTER ALERTED STAFF THAT THE DONOR PASSED OUT AND HAD INCONTENENCE OF BLADDER. DONOR WAS CONFUSED AS TO WHERE SHE WAS. DONOR HAD NAUSEA THAT SUBSIDED. DONOR HAD REACTION THAT OCCURED APPROXIMATELY 8 MINUTES AFTER INJECTION WAS ADMINISTERED. DONOR FULLY RECOVERED WITHIN 20 MINUTES. DONOR WAS GIVEN CRACKERS AND A GATORADE. DONOR HAD LOW BP INITIALLY DURING THE REACTION, THEN CAME UP TO WLN AFTER DRINKING GATORADE.