Report #2860494

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: Female
Age: 31 yrs
State: MA
Recovered: Recovered
Vaccinated: Sep 17, 2025
Onset: Sep 17, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052549	IM / LA

Symptoms (10)

AstheniaDizzinessFlushingHyperhidrosisHypotensionLoss of consciousnessSeizureSyncopeTremorUnresponsive to stimuli

Symptom narrative

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Severe, Systemic: Seizure-Medium, Systemic: Shakiness-Severe, Systemic: Weakness-Medium, Additional Details: lost consciousness, caught pt and didn't hit head. ems called and evaulated. refused treatment/emergency room. father came to pick up, Other Vaccines: VaccineTypeBrand: flucelvax; Manufacturer: seqirus; LotNumber: 407799; Route: im; BodySite: left arm; Dose: 1; VaxDate: 09/17/2025

Report #2860494

Overview

Vaccines (1)

Symptoms (10)

Symptom narrative

Allergies