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Report #2855041

Received Aug 21, 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
CA
Recovered
Recovered
Vaccinated
Aug 12, 2025
Onset
Aug 12, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSUNKze4n7IM / LA
VARCELVARICELLA (VARIVAX)MERCK & CO. INC.2z004246SC / RA

Symptoms (1)

Loss of consciousness

Symptom narrative

Very nice girl, came in with her mom, vaccinated her and then we stayed in the vaccine room for a few minutes while I finished filling out her vaccination immunization record for the day. then we walked together out the vaccine room to the register. While ringing them out at the register patient appeared to lean against her mom and put her face into her arm/shoulder area, and then she slide down her moms side to the floor passed out. I jumped to the floor to hold her head, we remained on the floor for a few minutes before transferring to chair. She was passed out but breathing, took 10 seconds or so and she blinked and woke. was able to get up and sit in the waiting room chairs with her mom. They stayed here at least another 20min. We provided water, snacks, cold compress on her neck head and chest. She did not hit her head with the way she slid and fell off her mom. We did call to check on her on 08/18/2025, mail box full no way to leave message.

Current illness

none

Medical history

none listed

Other medications

none listed

Allergies

none