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Report #2864919

Received Oct 10, 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
Male
Age
73 yrs
State
PA
Recovered
Unknown
Vaccinated
Oct 10, 2025
Onset
Oct 10, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH1na4457IM / RA
FLU3INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)SANOFI PASTEUR1u8862baIM / RA

Symptoms (1)

Loss of consciousness

Symptom narrative

patient sat for a while and felt okay then as leaving passed out

Current illness

none

Medical history

patient has afib, had cardiac ablation on october 1st stated md could potentially have episode again

Other medications

eliquis, aspirin, allopurinol,mycophenolic acid,sinamet, tradjenta

Allergies

unknown

Lab data

n/a