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Report #2856398

Received Sep 1, 2025

ER / ED 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
Female
Age
75 yrs
State
CT
Recovered
Recovered
Vaccinated
Aug 28, 2025
Onset
Aug 28, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS1h4k3sIM / LA

Symptoms (4)

DizzinessHead injuryLoss of consciousnessSyncope

Symptom narrative

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Details: patient recevied vaccine and experienced a syncopal event/passing out event in which she hit her head. the event happened inside of the pharmacy location where the vaccine was administered

Allergies

penicillins