Report #2858666

Received Sep 14, 2025

Office 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: 15 yrs
State: WA
Recovered: Recovered
Vaccinated: Sep 14, 2025
Onset: Sep 14, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	UNK	MY9547	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUBLOK)	SANOFI PASTEUR	UNK	U8823CA	IM / RA

Symptoms (3)

Head injuryLoss of consciousnessMuscle spasms

Symptom narrative

Patient received Covid shot in the left arm, then after receiving the flu shot patient passed out in chair for 5 seconds then woke up. Patient seemed to have full body spasm upon waking and bumped his head on furniture.

Current illness

none

Medical history

none

Other medications

unknown

Allergies

none

Lab data

unknown