Report #2863733

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: 31 yrs
State: WI
Recovered: Recovered
Vaccinated: Sep 21, 2025
Onset: Sep 21, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052671	IM / LA

Symptoms (2)

SyncopeUnresponsive to stimuli

Symptom narrative

Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient said he felt fine after vaccines were administered but fainted while paying for his vaccine at the register and fell into the privacy screen. Paramedics assessed and the patient's blood pressure normalized and they told him it was up to him if he went to the hospital. He declined to go to the hospital., Other Vaccines: VaccineTypeBrand: Flucelvax; Manufacturer: Seqirus; LotNumber: 406999; Route: Intramuscular; BodySite: Left Deltoid; Dose: 1; VaxDate: 09/21/2025