Report #2860426

Received Sep 22, 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: 29 yrs
State: CA
Recovered: Recovered
Vaccinated: Sep 14, 2025
Onset: Sep 14, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU4	INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT)	GLAXOSMITHKLINE BIOLOGICALS	UNK	9fg5m	IM / LA

Symptoms (4)

DizzinessLoss of consciousnessSyncopeUnresponsive to stimuli

Symptom narrative

Systemic: Fainting / Unresponsive-Mild, Additional Details: pt has known reaction to flu shot of occasionally feeling faint, was sat back in chair, did faint and regained conciousness in less than a minute, sat and then laid down for roughly 20 ish minutes, felt well enough to go home, Other Vaccines: VaccineTypeBrand: boostrix; Manufacturer: gsk; LotNumber: 4ya34; Route: im; BodySite: left arm; Dose: 1; VaxDate: 09/14/2025

Allergies

unknown