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Report #2895003

Received Apr 30, 2026

ER / ED visit

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

Overview

Sex
Female
Age
19 yrs
State
CA
Recovered
Recovered
Vaccinated
Apr 28, 2026
Onset
Apr 28, 2026
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (ADACEL)SANOFI PASTEURN/AU8730AAIM / LA

Symptoms (4)

DyspnoeaGlossitisPyrexiaUrticaria

Symptom narrative

Patient did not have symptoms after monitoring her at the clinic on 4/28/26. She informed us today that she was seen in the ED and had the following symptoms: Glossitis, fever, shortness of breath and hives. Unknown treatment at the ED, but they did prescribe her an EPI-PEN.

Medical history

Patient Active Problem List Diagnosis Date Noted ? Autism spectrum disorder 09/23/2025 ? Mood disorder 09/23/2025 ? PMDD (premenstrual dysphoric disorder) 09/01/2025 Not officially diagnosed yet, but investigating alignment in symptoms ? Von Willebrand disease (HCC) 09/04/2024 ? POTS (postural orthostatic tachycardia syndrome) 07/17/2024

Other medications

Escitalopram 10 MG; Fluoxetine HCL 20MG

Allergies

No other known allergies

Lab data

Unknown