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Report #2891471

Received Apr 1, 2026

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
39 yrs
State
TX
Recovered
Recovered
Vaccinated
Mar 28, 2026
Onset
Mar 28, 2026
Days to onset
0
Hospital days

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUNKUT8878KAIM / RA

Symptoms (6)

ElectrocardiogramGaze palsyMalaisePresyncopeSeizureSpeech disorder

Symptom narrative

Patient came in for 3 vaccines. Gave flu shot in right arm then gave hep b in left arm. When starting to administer adacel vaccine before giving shot patient said he didn't feel well. Patient's head fell back and eyes rolled back. Immediately grabbed patients head, started tapping his shoulder. Patients arms and legs started convulsing told tech to call 911. Kept calling patients name, he was still breathing, on line with 911 operator. Had tech bring ice pack and bp monitor. Patient mumbled, opened eyes periodically bp was 82/48 52 pulse. Patient seemed to improve gradually but it took some time. Wife said he has had problems in the past with getting labs done and shots.(but did not put on his vaccine consent form). Fire and rescue arrived. Emt said that the convulsions were part of the vasovagal reflex response. But gradually increased to 124/74 then 136/82 on standing. Customer did not go to ER. Totally recovered and profusely apologized. Did not administer 3rd shot. EMT's also did EKG thought they saw something of concern. Called their md to make sure. Dr. looked at and said it was ok. Patient thanked me and left pharmacy. Wife received her flu shot. Event Details

Current illness

n/a

Medical history

n/a

Other medications

Not to my knowledge

Allergies

No answered on IMZ questionaire

Lab data

I, pharmacist did a blood pressure check and EMT's did blood pressure check and EKG check on 3/28/26. Patient said he was fine after bp returned to normal. Wife said as incident was happening that he has had issues in the past with blood draw and shots. Recommended dr. office or clinic in future.

Prior vaccinations

wife said has happened before not sure if with imz or blood draw or medical procedure