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Report #2874108

Received Nov 21, 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
38 yrs
State
PA
Recovered
Recovered
Vaccinated
Nov 18, 2025
Onset
Nov 18, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDTD ADSORBED (TENIVAC)SANOFI PASTEUR4U8653BAIM / RA

Symptoms (2)

HypotensionLoss of consciousness

Symptom narrative

Donor had just completed his donation and was receiving his 4th tetanus immunization out of a series of 5 at the center. Donor has not had a reaction to the previous 3 tetanus immunizations. Within approximately 15 seconds of receiving the injection, the donor lost consciousness that lasted approximately 30 seconds. Upon regaining consciousness, donor was initially hypotensive with a Blood Pressure of 92/52 and pulse of 80. Subsequently, the donor vital signs retuned within normal limits (BP 112/78 and pulse of 84). Donor stated he felt much better within approximately 15 minutes of monitoring and consumed 2 bottles of Propel and ate a pack of crackers.

Current illness

None disclosed.

Medical history

Donor stated having one seizure as a small child after falling off a playground seesaw and was treated one time with Dilantin which led to the discovery of the allergy. Donor has not had any more seizures since that one episode and does not take any medications for any condition.

Other medications

Donor currently takes Wegovy for weight loss.

Allergies

Donor is allergic to Dilantin reacting with hives.

Lab data

None.