Report #2863844

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: Female
Age: 15 yrs
State: TX
Recovered: Recovered
Vaccinated: Sep 28, 2025
Onset: Sep 28, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19-2	COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT))	PFIZER\BIONTECH	1	MY9550	IM / LA

Symptoms (5)

Eye movement disorderImmediate post-injection reactionParaesthesiaSyncopeUnresponsive to stimuli

Symptom narrative

Systemic: Fainting / Unresponsive-Medium, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: Today 9/28/2025, I gave Flucelvax and Comirnaty to the patient. She didn't report any prior incidents before. I gave her Flucelvax first, and as soon as I finished giving her Comirnaty, her eyes rolled back and she was unresponsive for about 30-40 seconds. she was breathing normal, heart rate normal, but was unresponsive. when she came back she said she has a tingling sensastion in her body which resolved in less than a minute. she sat in the pharmacy for about 15-20 minutes and then left., Other Vaccines: VaccineTypeBrand: Flucelvax; Manufacturer: Seqirus; LotNumber: 948412; Route: IM; BodySite: Left Arm; Dose: 1; VaxDate: 09/28/2025

Allergies

n/a