Report #2860888

Received Sep 23, 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: Female
Age: 84 yrs
State: NJ
Recovered: Unknown
Vaccinated: Sep 23, 2025
Onset: Sep 23, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	UNK	my9548	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLUAD)	SEQIRUS, INC.	N/A	407245	IM / LA

Symptoms (3)

DizzinessLoss of consciousnessNausea

Symptom narrative

Patient was waiting after her vaccine administration in a chair and was feeling lightheaded. She subsequently lost consciousness while sitting in the chair. With the help of her daughter, we lowered her to the ground and laid her flat and she regained consciousness but was very nauseous. 911 was called immediately and they took her to the hospital for evaluation.

Allergies

No known allergies