Report #2864958

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: 14 yrs
State: CO
Recovered: Unknown
Vaccinated: Oct 9, 2025
Onset: Oct 9, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	UNK	NA0590	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUCELVAX)	SEQIRUS, INC.	UNK	948414	IM / LA

Symptoms (4)

CryingFacial painFallHead injury

Symptom narrative

Patient walked into vaccination room , pleasant with no issues . Patient received 2 vaccines administered by pharmacy technician. Technician stated patient had no issues with receiving vaccines, said thank you, walked out of the room ok. Patient took about 10 steps and fell down, hitting their head on a bar on the stand. Pt was aware, breathing, crying, face hurt, speaking while laying on floor. EMS was called and patient was transported to the hospital.