Report #2859178

Received Sep 16, 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: Female
Age: 29 yrs
State: MI
Recovered: Recovered
Vaccinated: Sep 16, 2025
Onset: Sep 16, 2025
Days to onset: 0
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052583	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	1	U8863CA	IM / RA
HEPA	HEP A (HAVRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	Z27PB	IM / LA
HPV9	HPV (GARDASIL 9)	MERCK & CO. INC.	2	Y013565	IM / LA

Symptoms (2)

HypotensionSyncope

Symptom narrative

Patient came to receive Flu, Covid, 2nd Gardasil, and 1st Havrix with us. On her last administration (Fluzone), she fainted briefly for less than a minute. Her blood pressure was very low, she stated she had not eaten all day. These vaccines were given to her at 4:56pm. We gave her water and ice packs.

Current illness

N/A

Medical history

N/A

Other medications

None known

Allergies

Sulfa