Report #2856324

Received Sep 1, 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: NC
Recovered: Recovered
Vaccinated: Aug 19, 2025
Onset: Aug 19, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	95P4M	IM / LA

Symptoms (6)

DizzinessLoss of consciousnessParaesthesiaSyncopeTremorUnresponsive to stimuli

Symptom narrative

Systemic: Fainting / Unresponsive-Mild, Systemic: Tingling (specify: facial area, extemities)-Medium, Additional Details: PATIENT VERY NERVOUS ABOUT IMMUNIZATIONS BUT WERE REQUIRED FOR SCHOOL, PT HAD HAD ISSUE WITH TB TEST RECENTLY AT OTHER PROVIDER. PT TURNED TO MOTHER AND SAID SHE WAS READY FOR IMZ. GAVE BOOSTRIX THEN FLU. SHE SAID SHE FELT FAINT. SHE CLOSED EYES, APPEARED TO FAINT. SHE HAD TREMORS FOR ABOUT 30-45SEC. SHE CAME BACK TO CONCIOUSNESS. SHE WAS IMMEDIATELY COHERENT BUT COMPLAINED OF TINGLING IN HANDS. I ASKED PARENT IF SHE WANTED EMS TO BE CALLED. SHE REFUSED AS DID PATIENT. , Other Vaccines: VaccineTypeBrand: FLUCELVAX; Manufacturer: SEQIRUS; LotNumber: 406981; Route: intramuscular; BodySite: left arm; Dose: 1; VaxDate: 08/19/2025