Report #2832224

Received Mar 19, 2025

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: 5 yrs
State: AZ
Recovered: Recovered
Vaccinated: Nov 4, 2022
Onset: Nov 4, 2022
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	FT1551	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLULAVAL)	GLAXOSMITHKLINE BIOLOGICALS	5	2YB4G	IM / RA

Symptoms (1)

Unresponsive to stimuli

Symptom narrative

staring spell about 20 min after receiving the immunizations: pt had episode outside clinic building of sitting awake but unresponsive for several minutes before spontaneously returning to baseline. They did not seek care for the episode and no recurrence or further associated event ensued.

Current illness

none known

Medical history

eczema

Allergies

none known