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Report #2866636

Received Oct 17, 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
13 yrs
State
WA
Recovered
Unknown
Vaccinated
Oct 17, 2025
Onset
Oct 17, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUBLOK)SANOFI PASTEUR1U8832CAIM / LA

Symptoms (3)

Loss of consciousnessPallorStaring

Symptom narrative

Patient received both Flublok and MNexspike vaccine by a certified technician. Patient was seated in an double armed chair with padded back. Patient began looking pale, looked blank and dropped cell phone. The technician called for assistance. The pharmacist-on-duty aided the mother, while instructing the technician to call 911. Pharmacist was assisting mother with patient and helped mother assist patient to floor and on their side. Patient regained consciousness almost immediately upon reaching the floor. Patient was distressed, but awake and able to answer questions and converse. EMS arrived within 3-5 minutes. The patient remained conscious while EMS assisted. Patient was then placed on stretcher and taken to hospital.

Current illness

None Known

Medical history

History of Seizure Disorder

Other medications

None

Allergies

Latex, Banana, Kiwi, Raspberry

Prior vaccinations

Seizure