Report #2860497

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: 39 yrs
State: PA
Recovered: Unknown
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	3052583	IM / RA

Symptoms (4)

Confusional stateDizzinessSyncopeUnresponsive to stimuli

Symptom narrative

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Other Vaccines: VaccineTypeBrand: gardasil 9; Manufacturer: merck sharp&d; LotNumber: y020531; Route: im; BodySite: left deltoid; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: flucelvax; Manufacturer: seqirus; LotNumber: 407799; Route: im; BodySite: right deltoid; Dose: ; VaxDate: UNKNOWN

Report #2860497

Overview

Vaccines (1)

Symptoms (4)

Symptom narrative

Allergies