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Report #2882851

Received Jan 22, 2026

Office 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
30 yrs
State
CA
Recovered
Recovered
Vaccinated
Jan 22, 2026
Onset
Jan 1, 2026
Days to onset
—
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSN/AE9X9AIM / LA

Symptoms (2)

SeizureSyncope

Symptom narrative

Pt received vaccine without issue. Pt walked down hall and sat in lab chair. As MA [name withheld] was drawing blood, pt experienced syncopal seizure-lasting <5sec. Pt aroused on own. Pt was pale, diaphoretic, somewhat dazed. Feet were elevated, cool compress applied to neck. BP at time was 90/60, pulse 70. Pt was observed and eventually brought to an exam room to lay on table. Continued monitoring of status, BP for ~1hr. BP stabilized to 112/76. Pt walked back to office. Returned to clinic 2:15pm, had good color, BP stable.

Current illness

no

Medical history

VSD

Other medications

n/a

Allergies

no

Lab data

BP's as noted above