Report #2863697

Received Oct 7, 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: Male
Age: 42 yrs
State: NC
Recovered: Recovered
Vaccinated: Sep 19, 2025
Onset: Sep 19, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLUC4	INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)	SEQIRUS, INC.	1	407799	IM / LA

Symptoms (6)

Confusional stateLoss of consciousnessSeizureSyncopeTremorUnresponsive to stimuli

Symptom narrative

Systemic: Fainting / Unresponsive-Medium, Systemic: Seizure-Mild, Systemic: Shakiness-Mild, Additional Details: Patient passed out twice and started shaking on both occassions. Once he regained consciousness after each episode he was confused and did not know what happened.