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Report #2901690

Received Jun 29, 2026

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

Overview

Sex
Female
Age
12 yrs
State
OK
Recovered
Recovered
Vaccinated
Jun 20, 2026
Onset
Jun 20, 2026
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSN/AH9P77IM / LA

Symptoms (9)

BlindnessChillsDizzinessFeeling hotHypoacusisSensation of foreign bodySyncopeTachycardiaVisual impairment

Symptom narrative

Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Muffled hearing, felt lump in throat, felt hot-Mild, Systemic: Tachycardia-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: Patient observed injection during vaccine administration and seemed anxious. Felt light headed/faint and vision got dark upon standing up. Then patient felt hot and said her hearing seemed muffled and felt a lump in her throat. No trouble breathing. Blood pressure was 112/69 mmHg, heart rate was 98. Patient drank some water and felt better within a few minutes. Patient remained seated for observation for 15 minutes with no issues.