Report #2861737

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: Female
Age: 73 yrs
State: NC
Recovered: Unknown
Vaccinated: Sep 25, 2025
Onset: Sep 26, 2025
Days to onset: 1
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052731	IM / RA

Symptoms (2)

Loss of consciousnessUnresponsive to stimuli

Symptom narrative

Pt passed out and was unresponsive for a few minutes, transported to ER via ambulance

Medical history

ASTHMA

Other medications

Trazodone 50mg, Potassium Citrate 10mEq. Lisinopril 20mg

Allergies

N/A