Report #2861823

Received Sep 27, 2025

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: 13 yrs
State: IL
Recovered: Recovered
Vaccinated: Sep 27, 2025
Onset: Sep 27, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	NA0587	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUCELVAX)	SEQIRUS, INC.	1	409415	IM / RA

Symptoms (4)

Cold sweatDizzinessPallorPresyncope

Symptom narrative

Dizziness, paleness, cold sweats; vagal response. Patient was observed for fifteen minutes while he rested and drank some water. He felt better and left with his family under his own power.

Medical history

immune deficiency

Other medications

Lurasidone, Methylphenidate, Atomoxetine, Sertraline, Albuterol

Allergies

amoxicillin