Report #2866753

Received Oct 17, 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: 9 yrs
State: CO
Recovered: Recovered
Vaccinated: Oct 17, 2025
Onset: Oct 17, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	N/A	3053253	IM / LA
FLUN3	INFLUENZA (SEASONAL) (FLUMIST)	MEDIMMUNE VACCINES, INC.	N/A	YF3413B	IN / NS

Symptoms (2)

NervousnessSyncope

Symptom narrative

PATIENT FEINTED A COUPLE MINUTES AFTER VACCINE AFTER STANDING FROM CHAIR TO LEAVE. SHE WAS VERY NERVOUS BUT NO OTHER ISSUES NOTED AND NO PREVIOUS HISTORY

Current illness

UNKNOWN

Medical history

UNKNOWN

Other medications

UNKNOWN

Allergies

NONE

Lab data

NONE