Report #2864943

Received Oct 10, 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: 21 yrs
State: PA
Recovered: Recovered
Vaccinated: Oct 1, 2025
Onset: Oct 1, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052835	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUCELVAX)	SEQIRUS, INC.	1	407007	IM / LA

Symptoms (2)

Loss of consciousnessPallor

Symptom narrative

Patient passed out for about 25 seconds, about two minutes after the injection. She was seated in our hearing aid department right outside the counseling room where she was vaccinated. Her blood pressure was 90/53. She was given ice packs to put on her neck. She was feeling better and gaining more color in her face after about 10 minutes, and left. Her mother reported that she had eaten prior to getting both her vaccines.

Prior vaccinations

fainted after having blood drawn previously per her mother