Report #2892545

Received Apr 13, 2026

ER / ED visit

Reports are unverified and do not show that a vaccine caused an event. Full disclaimer

Overview

Sex: Male
Age: 22 yrs
State: MA
Recovered: Recovered
Vaccinated: Apr 4, 2026
Onset: Apr 4, 2026
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (UNKNOWN))	UNKNOWN MANUFACTURER	3	6315MF006	SYR / RA

Symptoms (4)

Confusional stateDizzinessSyncopeUnresponsive to stimuli

Symptom narrative

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Other Vaccines: VaccineTypeBrand: boostrix; Manufacturer: gsk; LotNumber: n4935; Route: im; BodySite: left delt; Dose: 1; VaxDate: UNKNOWN