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Report #2899793

Received Jun 11, 2026

Office visit

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

Overview

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

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
HPV9HPV (GARDASIL 9)MERCK & CO. INC.1Z016028IM / LA
PNC20PNEUMO (PREVNAR20)PFIZER\WYETH1NC7578IM / RA
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSN/AH9P77IM / LA

Symptoms (1)

Presyncope

Symptom narrative

Vaccine was administered and patient had a vasovagal response. Patient was guided to sit down and was provided with juice and crackers. Episode lasted less 2 minutes.

Current illness

none

Medical history

Anxiety, bipolar 2,depression, alcoholism in remission

Other medications

Ibuprofen

Allergies

none