Report #2867007

Received Oct 20, 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: Male
Age: 33 yrs
State: IL
Recovered: Recovered
Vaccinated: Oct 10, 2025
Onset: Oct 10, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19-2	COVID19 (COVID19 (MODERNA BIVALENT))	MODERNA	UNK	3052741	IM / LA

Symptoms (5)

FlushingHead injuryHyperhidrosisSyncopeUnresponsive to stimuli

Symptom narrative

Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Additional Details: Patient received vaccines and fainted and hit his head on table in front of the store., Other Vaccines: VaccineTypeBrand: Fluarix; Manufacturer: GlaxoSmithKline; LotNumber: JE74J; Route: im; BodySite: left arm; Dose: ; VaxDate: 10/10/2025

Allergies

No known allergies