Report #2865580

Received Oct 13, 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: Female
Age: 75 yrs
State: NC
Recovered: Recovered
Vaccinated: Oct 6, 2025
Onset: Oct 8, 2025
Days to onset: 2
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052549	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	1	u8859ba	IM / RA
PNC21	PNEUMO (CAPVAXIVE)	MERCK & CO. INC.	1	z006076	IM / RA

Symptoms (2)

Eyelid injurySyncope

Symptom narrative

Wednesday night she fainted in the bathroom. Laceration to her right eye lid.

Other medications

none reported to us at the time of report

Allergies

Lab data

She went to the ER 10/08/25