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Report #2864656

Received Oct 9, 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
29 yrs
State
FL
Recovered
Recovered
Vaccinated
Oct 9, 2025
Onset
Oct 9, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
IPVPOLIO VIRUS, INACT. (IPOL)SANOFI PASTEUR1Y1A212MIM / LA
VARCELVARICELLA (VARIVAX)MERCK & CO. INC.1z008197IM / LA

Symptoms (3)

AnxietyNervousnessSyncope

Symptom narrative

as soon as vaccine administer pt got fainted for about 5-6 second or so , he was responding back in few second , we put alcohol pad by his one nose and he start talking , we ask if we need to call 911, he said no . give him chocolate to eat , upon asking he mentioned he didn't eat anything this morning and feel anxious or nervous when he sees new people around him. i told him to wait for atleast 30 minutes in pharmacy so i can watch him if he is okay ot not . but after 30 minutes he left. he originally came here for 6 vaccine which are adacel, mmr, heplisav , flublok but after the seond shot this accident happen he said he don't want remaing vaccine he will come back. i infomred him he has to wait atleast 28 days since he received live vaccine of varivax.

Current illness

na

Medical history

na

Other medications

na

Allergies

penicillin : rash