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Report #2859379

Received Sep 17, 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
Male
Age
33 yrs
State
WI
Recovered
Recovered
Vaccinated
Sep 16, 2025
Onset
Sep 16, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
IPVPOLIO VIRUS, INACT. (IPOL)SANOFI PASTEUR1Y1A212MSC / LA
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS137R35IM / LA

Symptoms (5)

HyperhidrosisHypotensionLoss of consciousnessPallorTremor

Symptom narrative

+Pallor, +Diaphoretic, +Hypotensive, +Tremors, +Unconscious (approximately 1-minute).

Current illness

Patient denies any recent or current illnesses.

Medical history

Patient denies any chronic or long-standing health conditions.

Other medications

None.

Allergies

Patient denies any allergies.