Report #2863722

Received Oct 7, 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: Male
Age: 63 yrs
State: HI
Recovered: Recovered
Vaccinated: Sep 11, 2025
Onset: Sep 11, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19-2	COVID19 (COVID19 (MODERNA BIVALENT))	MODERNA	UNK	3052583	IM / LA

Symptoms (2)

SyncopeUnresponsive to stimuli

Symptom narrative

Systemic: Fainting / Unresponsive-Mild, Other Vaccines: VaccineTypeBrand: FLUBLOK; Manufacturer: SANOFI; LotNumber: U8832AA; Route: IM; BodySite: LEFT DELTOID; Dose: ; VaxDate: UNKNOWN