Report #2860132

Received Sep 20, 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: 22 yrs
State: IL
Recovered: Recovered
Vaccinated: Sep 20, 2025
Onset: Sep 20, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	3052669	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUBLOK)	SANOFI PASTEUR	N/A	U8832BA	IM / LA

Symptoms (3)

FallLoss of consciousnessSyncope

Symptom narrative

Patient fainted and slipped out of the chair and was unconscious for about 10 seconds. Regained conciousness and stated that he had a history of syncope after vaccines and blood draws.

Prior vaccinations

History of syncope associated with vaccines and blood draws. No vaccine types indicated.