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Report #2861717

Received Sep 26, 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
31 yrs
State
CT
Recovered
Recovered
Vaccinated
Sep 26, 2025
Onset
Sep 26, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA13052669IM / LA

Symptoms (4)

Cold sweatCyanosisDizzinessPallor

Symptom narrative

Upon receiving vaccine patient immediately turned white with blue lips, complained of dizziness/lightheadedness and cold sweats. Pulse was strong and patient stated he had no difficulty breathing. 911 was called and he was assessed and brought to the ED.

Current illness

none

Medical history

none

Other medications

no medications

Allergies

allegra

Lab data

Patient being followed up in the ED (withheld state)