Report #2862048

Received Sep 29, 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: 6 yrs
State: NC
Recovered: Recovered
Vaccinated: Sep 27, 2025
Onset: Sep 27, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPHEPBIP	DTAP + HEPB + IPV (PEDIARIX)	GLAXOSMITHKLINE BIOLOGICALS	4	KM25M5	IM / LA

Symptoms (1)

Syncope

Symptom narrative

Patient experienced syncope after vaccine administration. Patient was positioned lying down with legs elevated. Vital signs were taken: BP: 107/70, pulse: 106. Patient experienced jerky muscle movements for a few seconds, skin became clammy and cold, face was pale. Patient did not lose sphincter control, did not suffer any fall, or injuries, and was responding coherently to questions after a few seconds of episode. Comfort measures provided (reassurance, cold compress). Patient was observed during 30 minutes after episode and left the clinic without any complications. Education was provided to the parents regarding the episode and how to proceed at home if any reaction was observed.

Current illness

N/A

Medical history

N/A

Other medications

N/A

Allergies

NKA

Lab data

N/A

Prior vaccinations

No details available