Report #2863963

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: 22 yrs
State: WA
Recovered: Recovered
Vaccinated: Oct 3, 2025
Onset: Oct 3, 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	UNK	my9547	IM / LA

Symptoms (4)

Head injuryHypotensionLoss of consciousnessSyncope

Symptom narrative

Systemic: syncope- unknown outcome-Mild, Additional Details: She received three vaccines. She was doing well while receiving the shots. While the pharmacist was ringing her up, she fainted and hit her head on the floor. She was unconscious for about 5 sec. 911 called and arrived within 5 mins. They found her BP was low;she stated it is usually low. She stayed awake afterward. EMS advised an ER eval but she declined and left with someone after resting in the pharmacy. , Other Vaccines: VaccineTypeBrand: Boostirx; Manufacturer: Glaxosmithkline; LotNumber: h4k3s; Route: IM; BodySite: ; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: Fluarix; Manufacturer: Glaxosmithkline; LotNumber: he74J; Route: IM; BodySite: ; Dose: ; VaxDate: UNKNOWN