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Report #2894258

Received Apr 25, 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
35 yrs
State
WI
Recovered
Recovered
Vaccinated
Apr 25, 2026
Onset
Apr 25, 2026
Days to onset
0
Hospital days

Vaccines (4)

TypeNameManufacturerDoseLotRoute / Site
HEPHEP B (HEPLISAV-B)DYNAVAX TECHNOLOGIES CORPORATION1947984IM / LA
MMRMEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.UNKZ009176IM / RA
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS172NF3IM / LA
VARCELVARICELLA (VARIVAX)MERCK & CO. INC.UNKZ014869IM / RA

Symptoms (5)

DizzinessLoss of consciousnessPallorRespiratory rate decreasedUnresponsive to stimuli

Symptom narrative

Individual administered HepB and Tdap in left deltoid without incident before proceeding to administer Varicella in right deltoid. After administration, patient said "I feel like..." before slumping forward, patient seemed to have lost consciousness as the technician recalls him not being able to respond to commands/questions. Patient was pale and breathing slowly. After 10 seconds, patient became responsive again. He was provided a drink of water and sat for ~10 minutes. At that point, the patient stated he felt well enough to complete his 4th vaccine. Pharmacist administered MMR without further incident. Patient remained in pharmacy for additional 15 minutes of observation before returning home under the care of a family member.

Allergies

No allergies reported