Report #2859294

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: 93 yrs
State: WV
Recovered: Recovered
Vaccinated: Sep 15, 2025
Onset: Sep 15, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUAD)	SEQIRUS, INC.	1	407245	IM / RA

Symptoms (5)

Back painDizzinessHypotoniaLoss of consciousnessPain in extremity

Symptom narrative

PATIENT FELT DIZZY AND LIGHTHEADED APPROXIMATELY 5 MINUTES AFTER INJECTION. PATIENT WAS SEATED AND BEGAN TO SLUMP BACKWARDS AND LOSE CONSCIOUSNESS. PHARMACIST AND PATIENT CAREGIVER (DAUGHTER) SUPPORTED PATIENT WHILE SPEAKING HER NAME. PATIENT REGAINED CONSCIOUSNESS ABOUT 30 SECONDS LATER. PATIENT REPORTED EXTREME LIGHTHEADEDNESS, FAINTNESS, AND DIZZINESS. AFTER A FEW MINUTES SHE HAD PAIN IN HER BACK AND LEGS THAT LASTED FOR ABOUT 2-3 MINUTES. PATIENT SIPPED SOME WATER AND BEGAN TO FEEL BETTER ABOUT 10 MINUTES LATER. PATIENT AND DAUGHTER DECLINED MEDICAL AID AND LEFT ON THEIR OWN ABOUT 45 MINUTES AFTER IMMUNIZATION. PATIENT REPORTED FEELING WEAK BUT MUCH BETTER AT THAT TIME.

Medical history

ATRIAL FIBRILLATION

Allergies

LATEX