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Report #2881508

Received Jan 12, 2026

ER / ED visit
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
42 yrs
State
CA
Recovered
Unknown
Vaccinated
Jan 7, 2026
Onset
Jan 7, 2026
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS1x3y25IM / LA

Symptoms (6)

DizzinessFlushingHyperhidrosisHypotensionSyncopeUnresponsive to stimuli

Symptom narrative

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Other Vaccines: VaccineTypeBrand: Flucelvax; Manufacturer: seqirus; LotNumber: 406984; Route: IM; BodySite: Right Arm; Dose: 1; VaxDate: 01/07/2026

Allergies

No