Report #2863194

Received Oct 4, 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: 11 yrs
State: OH
Recovered: Unknown
Vaccinated: Oct 4, 2025
Onset: Oct 4, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUCELVAX)	SEQIRUS, INC.	1	409413	IM / LA

Symptoms (5)

FallHead injuryImmediate post-injection reactionLoss of consciousnessVomiting

Symptom narrative

patient passed out within a few seconds after receiving vaccine. She fell of chair and hit her head on the concrete floor. Mom took her to hospital later in the day . Patient had a bump on her head and was vomiting that evening.

Lab data

unknown