Report #2891541

Received Apr 2, 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: 16 yrs
State: OH
Recovered: Unknown
Vaccinated: Apr 2, 2026
Onset: Apr 2, 2026
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
HEPA	HEP A (HAVRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	34HG2	IM / LA
MNQ	MENINGOCOCCAL CONJUGATE (MENVEO)	NOVARTIS VACCINES AND DIAGNOSTICS	1	X342N	IM / RA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	H4K3S	IM / LA

Symptoms (5)

DyskinesiaLip injuryLoss of consciousnessSyncopeTooth fracture

Symptom narrative

AT APPROX 9:45AM PT HAD AN EPISODE OF SYNCOPE THAT RESULTED IN TEMPORARY (LESS THAN 1 MIN) LOSS OF CONSCIOUSNESS AND INVOLUNTARY MUSCLE MOVEMENTS. PT HIT HIS FACE ON THE CLINIC ROOM FLOOR RESULTING IN A BROKEN FRONT TOOTH AND BOTTOM LIP LACERATION. EMS WAS CALLED TO THE CLINIC. BP 138/62 SPO2 99% PR 50BPM. WHEN PT REGAINED CONSCIOUSNESS, HE WAS ALERT AND HOLDING CONVERSATION. EMS ARRIVED AND PT AND FAMILY DECLINED ER VISIT AT THIS TIME. NURSES THEN RECOMMENDED FOLLOW UP WITH HOSPITAL, AND EMERGENCY DENTAL AND GAVE FAMILY S/S'S TO KEEP AN EYE OUT FOR. THE FAMILY THEN LEFT THE HEALTH DEPARTMENT

Current illness

NONE

Medical history

NONE

Other medications

NONE

Allergies

NKDA