Report #2830852

Received Mar 12, 2025

ER / ED visit

A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex: Male
Age: 40 yrs
State: OH
Recovered: Unknown
Vaccinated: Mar 5, 2025
Onset: Mar 5, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLUC4	INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)	SEQIRUS, INC.	1	946636	IM / RA

Symptoms (5)

ConcussionDizzinessFallLoss of consciousnessPresyncope

Symptom narrative

Systemic: Dizziness / Lightheadness-Severe, Additional Details: patient had vasovagal reaction to vaccinations and fell upon standing, lost consciousness briefly and exhibited signs of concussion. Called 911 and taken to ER. Dr. reported that he was released and is doing well now., Other Vaccines: VaccineTypeBrand: twinrix; Manufacturer: gsk; LotNumber: m4b34; Route: intramuscular; BodySite: right deltoid; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: ipol; Manufacturer: sanofi; LotNumber: x1c891m; Route: subcutaneous; BodySite: left arm; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: boostrix; Manufacturer: gsk; LotNumber: dy3k7; Route: intramuscular; BodySite: left deltoid; Dose: ; VaxDate: UNKNOWN