Report #2863555

Received Oct 6, 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: 18 yrs
State: NH
Recovered: Recovered
Vaccinated: Oct 6, 2025
Onset: Oct 6, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	80777040060	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUBLOK)	SANOFI PASTEUR	1	49281072510	IM / LA

Symptoms (1)

Syncope

Symptom narrative

PATIENT RECEIVED VACCINE AT (WITHHELD NAME) COLLEGE. AFTER RECEIVING THE VACCINE SHE STATED THAT LAST YEAR SHE FAINTED AT HER DOCTOR'S OFFICE AFTER RECEIVING VACCINE. ON THE SCREENING QUESTIONS SHE HAD MARKED NO ON QUESTION 3, INDICATING THAT SHE HAD NEVER HAD A SERIOUS REACTION OR FAINTED AFTER RECEIVING A VACCINATION. SHE STATED SHE THOUGHT IT WS A ONE TIME THING. AMBULANCE CAME CHECKED VITALS, PATIENT DID RECOVER AND REFUSED ANY OTHER TREATMENT.

Prior vaccinations

2024