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Report #2860567

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
77 yrs
State
CO
Recovered
Recovered
Vaccinated
Sep 22, 2025
Onset
Sep 22, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUAD)SEQIRUS, INC.1407258IM / RA

Symptoms (7)

Consciousness fluctuatingElectrocardiogram normalHypotensionImmediate post-injection reactionMuscle twitchingPresyncopeUnresponsive to stimuli

Symptom narrative

Pt experienced a vasovagal response. Pt came in to receive Fluad immunization, which was processed, verified and signed out. Pt came in to professional services room to receive the immunization along with her husband. Pt took a seat in an armed chair and requested that it be administered in her right arm/deltoid. As soon as the vaccine had been administered the pt slumped over in the chair and became unresponsive. At times her hands would twitch. Pt husband stated this has happened recently, at least twice before this, once at a restaurant in May. As pt was breathing the pharmacist checked blood pressure and it was low. While checking pt's blood pressure the pt would drift in and out of consciousness. At no time did the pt stop breathing. As time progressed and pt did not respond the husband mentioned that the last time it helped to lay her down. So with the husbands permission and assistance from other pharmacy staff the pt was placed laying down on the floor with a sweatshirt placed under her head. After this occurred and the pt was still unresponsive the husband allowed the pharmacist to call 911. When EMS arrived the pt was responsive. EMS checked her blood pressure and found it was still low, they also saw some irregularity on her EKG. Pt refused to let EMS take her to the hospital and EMS waited to help her and the husband out their vehicle with a wheelchair we had gotten from the front end.

Current illness

None

Medical history

None given

Other medications

None

Allergies

NKA