Report #2861798

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

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	UNK	my9550	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLUBLOK)	SANOFI PASTEUR	UNK	u8823ca	IM / RA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	37r35	IM / LA

Symptoms (1)

Syncope

Symptom narrative

patient requested all three vaccines, before administering patient said she never had any issues with vaccines in the past. After administering the vaccine patient seemed fine she got up and walked out of immunization room and around to pharmacy counter or receive her $20 coupon. There was another patient at the counter and she had to wait a minute, she then proceeded to faint. I walked around counter to attend to her. She was breathing and had a pulse. She aroused and responded to my questions in less then a minute. Because she hit her head on the floor the paramedics were called. Stayed with patient laying on the floor till paramedics arrived. Paramedicd sat her up and took her vitals. Paramedic transported her to hospital to be checked out

Current illness

none reported

Medical history

none reported

Other medications

none reported

Allergies

none reported

Lab data

none aware of