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Report #2898803

Received Jun 3, 2026

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

Overview

Sex
Male
Age
11 yrs
State
MA
Recovered
Recovered
Vaccinated
Jun 3, 2026
Onset
Jun 3, 2026
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
MNQMENINGOCOCCAL CONJUGATE (MENQUADFI)SANOFI PASTEUR1u8661aaIM / RA
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS1k4979IM / LA

Symptoms (1)

Syncope

Symptom narrative

Brief syncopal episode post vaccination--patient regained awareness quickly- was laid flat by RN administering vaccines, ice placed behind neck, vitals taken--was able to sit up and consume a juice. Normal vital signs maintained- evaluated by provider and was ok to leave clinic.

Allergies

No known allergies