Report #2872182

Received Nov 11, 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: 28 yrs
State: LA
Recovered: Recovered
Vaccinated: Nov 11, 2025
Onset: Nov 11, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	1	u8863ca	IM
HEP	HEP B (HEPLISAV-B)	DYNAVAX TECHNOLOGIES CORPORATION	1	947931	IM / LA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	94kg2	IM / LA

Symptoms (3)

FallLoss of consciousnessTremor

Symptom narrative

Administered the three vaccinations, and patient began to tremor. As I was getting help patient fell from Chair to Floor and passed out. Patient was able to quickly become responsive and I helped him back in his seat. Patient again began tremoring where this time I held him up from falling. We then called EMS and waited for their assistance until they arrived.

Lab data

N/A.... was performed by EMS, not pharmacy.