Report #2863710

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: 40 yrs
State: CO
Recovered: Recovered
Vaccinated: Sep 20, 2025
Onset: Sep 20, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	UNK	NA0589	IM / LA

Symptoms (13)

AstheniaConfusional stateDizzinessFatigueFlushingHyperhidrosisHypotensionLethargySyncopeTinnitusTremorUnresponsive to stimuliVisual impairment

Symptom narrative

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Severe, Systemic: Shakiness-Medium, Systemic: Tinnitus-Medium, Systemic: Visual Changes/Disturbances-Medium, Systemic: Weakness-Severe, Additional Details: EMS was called and took over. Patient was speaking, Other Vaccines: VaccineTypeBrand: Fluarix 25-26; Manufacturer: GlaxoSmithKline; LotNumber: 9JC49; Route: IM; BodySite: Left deltoid; Dose: NA; VaxDate: 09/20/2025

Allergies

none reported