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Report #2860630

Received Sep 22, 2025

ER / ED visit
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
17 yrs
State
MA
Recovered
Recovered
Vaccinated
Sep 19, 2025
Onset
Sep 19, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNAN/A3052671IM
FLU3INFLUENZA (SEASONAL) (FLUBLOK)SANOFI PASTEURN/AU8790AAIM / LA

Symptoms (5)

Feeling coldHyperhidrosisHypotoniaLoss of consciousnessPallor

Symptom narrative

After recieving both vaccines patient sat down with the rest of his family and within minutes he slumped over in his seat and seemed to loose consciousness. When his mother called for assistance, in the seconds in took for me to leave the pharmacy and get to him his eyes were open again but his mother seemed to be holding him up. His mother stated this has happened multiple times before due to his severe anxiety. They had warned us of his dislike for needles and how anxious he was previously. She said there was no issues with allergies. While we waited for EMTs to arrive and a technician spoke with EMS, we layed patient down on the ground and elevated his legs. He stated he was cold but seemed to be sweating so he was given an ice pack which mom placed behind his neck. He was extremely pale but was able to keep his eyes open and tell us how he was feeling. When the EMTs arrived he was able to stand on his own and they helped him onto the stretcher. This all took place over the course of about 15 mins time.

Medical history

Severe anxiety disorder

Prior vaccinations

unkown which vaccines