Report #2863831

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: Female
Age: 14 yrs
State: MA
Recovered: Recovered
Vaccinated: Sep 27, 2025
Onset: Sep 27, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	8146367	IM / LA

Symptoms (2)

SyncopeUnresponsive to stimuli

Symptom narrative

Systemic: Fainting / Unresponsive-Medium, Other Vaccines: VaccineTypeBrand: Fluarix; Manufacturer: GSK; LotNumber: JE74J; Route: IM; BodySite: left arm; Dose: ; VaxDate: UNKNOWN