Report #2865428

Received Oct 13, 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: 30 yrs
State: NY
Recovered: Recovered
Vaccinated: Oct 8, 2025
Onset: Oct 8, 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 (2)

SyncopeUnresponsive to stimuli

Symptom narrative

Systemic: Fainting / Unresponsive-Mild, Additional Details: Pt sat down in chair, confirmed which vaccines being given (flucelvax and boostrix). Verbally confirmed no allergies, confirmed no reactions after getting vaccine (pt marked no on form).After boostrix vaccine administered to pt in left deltoid,patient had syncope for less than 1 minute with head and body supported in chair.Pt fully conscious and back to normal after being observed for 15 minutes. pt later said happened before,already discussed with doctor;was told vasovagal and not to be concern, Other Vaccines: VaccineTypeBrand: Flucelvax; Manufacturer: seqirus; LotNumber: 406981; Route: intramuscular; BodySite: left arm; Dose: ; VaxDate: UNKNOWN