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Report #2901043

Received Jun 23, 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
12 yrs
State
CT
Recovered
Recovered
Vaccinated
Jun 23, 2026
Onset
Jun 23, 2026
Days to onset
0
Hospital days

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
HPV9HPV (GARDASIL 9)MERCK & CO. INC.1Z010824IM / RA
MNQMENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICS1JM9P5IM / LA
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS1292H2IM / LA

Symptoms (3)

FallLoss of consciousnessPresyncope

Symptom narrative

Approximately 4 minutes after receiving Tdap, MCV, and HPV, PT left the examination room and while standing at the front desk waiting for her mom to book a 2nd appointment, PT experienced vasovagal episode. She lost consciousness briefly, fell to ground, and was caught by mother. No head trauma. Regained consciousness and was led to examination table. Was allowed to lie down. After 2-3 minutes was given water and a small amount to eat. Approximated 10-15 minutes was feeling better and left to go home.

Current illness

none

Medical history

none

Other medications

none

Allergies

none

Lab data

not indicated