Report #2863899

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: 23 yrs
State: IN
Recovered: Recovered
Vaccinated: Oct 1, 2025
Onset: Oct 1, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	4	8146367	IM / LA

Symptoms (3)

DizzinessFallSyncope

Symptom narrative

Systemic: Dizziness / Lightheadness-Mild, Systemic: patient fainted and fell down-Mild, Additional Details: after giving the flu and covid shot patient fell forward and i fell with her ,we called 911 every thing is ok ,she did not go with 911 just sitting resting til a relative comes and pick her up, Other Vaccines: VaccineTypeBrand: flucelvax; Manufacturer: ; LotNumber: 407000; Route: im; BodySite: left arm; Dose: 1; VaxDate: 10/01/2025