Report #2862446

Received Sep 30, 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: Female
Age: 22 yrs
State: CA
Recovered: Unknown
Vaccinated: Sep 30, 2025
Onset: Sep 30, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUARIX)	GLAXOSMITHKLINE BIOLOGICALS	1	ld9y5	IM / LA

Symptoms (5)

FallHead injuryJoint injuryNervousnessSyncope

Symptom narrative

After receiving the Fluarix, patient was fainted and fell. Patient said that she was very nervous also. Her head and elbow hit the counter.

Current illness

does not have any illness

Medical history

n/a

Other medications

not on any medication

Allergies

Not allergic to any medication

Lab data

N/A