Report #2861815

Received Sep 27, 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: 15 yrs
State: CO
Recovered: Unknown
Vaccinated: Sep 27, 2025
Onset: Sep 27, 2025
Days to onset: 0
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	NA0739	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUCELVAX)	SEQIRUS, INC.	1	948407	IM / RA
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	NA0739	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLUCELVAX)	SEQIRUS, INC.	1	948407	IM / LA

Symptoms (14)

Cold sweatContusionCyanosisDyspnoeaFeeling coldHeart rate increasedHyperhidrosisNauseaPallorSeizure like phenomenaVomitingBlood glucose increasedLoss of consciousnessSeizure

Symptom narrative

Bruising on lower arm (possible ITP); blue lips, arms and hands; Seizing and loss of consciousness; sweating; high glucose- all within a minute or so of receiving the vaccines

Current illness

None

Medical history

Duplication on 19 chromosome; unidentified autoimmune;

Other medications

Prozac

Allergies

Amoxicillin

Lab data

Glucose; pulseox; taken to ER via ambulance.