Report #2883408

Received Jan 29, 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: Female
Age: 16 yrs
State: TX
Recovered: Recovered
Vaccinated: Jan 28, 2026
Onset: Jan 28, 2026
Days to onset: 0
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
HEPA	HEP A (VAQTA)	MERCK & CO. INC.	1	Z005852	IM / LA
IPV	POLIO VIRUS, INACT. (IPOL)	SANOFI PASTEUR	7+	Y1A212M	IM / RA
MMR	MEASLES + MUMPS + RUBELLA (MMR II)	MERCK & CO. INC.	2	Y020516	SC / LA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	5	37R35	IM / RA

Symptoms (3)

DizzinessPallorSyncope

Symptom narrative

PAATIENT WAS ADMINISTERED VACCINES ABOUT 2-3 MINUTES LATER STARTED FEELING DIZZINESS AND PATIENT WAS PALE, VASOVAGAL SYNCOPE BUT DID NOT FAINT

Allergies

NKDA