Report #2858461

Received Sep 12, 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: 15 yrs
State: MO
Recovered: Recovered
Vaccinated: Sep 12, 2025
Onset: Sep 12, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	NA0587	IM / LA

Symptoms (3)

Blindness transientDizzinessPallor

Symptom narrative

Patient stated he was unable to see for a few seconds and felt lightheaded. His mother took him to the photo section to sit down. His complexion and lips appeared pale. This was within 15 minutes of the vaccine. When we got to him, he was seated and appeared pale. We got him water. He reported nothing like this happening in the past or with any other vaccines. After drinking about 200 mL pt color appeared back to normal per mom. Pt lips also no longer looked pale. At 30 minutes, pt was able to stand back up without incident.

Current illness

None

Medical history

None

Other medications

None

Allergies

None

Lab data

none