Report #2867070

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: Female
Age: 22 yrs
State: CA
Recovered: Recovered
Vaccinated: Oct 13, 2025
Onset: Oct 13, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU4	INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT)	GLAXOSMITHKLINE BIOLOGICALS	1	js74h	IM / LA

Symptoms (8)

ChillsDizzinessHypotensionInjection site erythemaPallorPanic attackSyncopeUnresponsive to stimuli

Symptom narrative

Site: Redness at Injection Site-Mild, Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Panic Anxiety and she experienced wet or pale symptoms-Mild, Systemic: Hypotension-Mild, Additional Details: Patient experinced pale, fainting, and lightheadedness symptoms for over 20 minutes. EMT was called and she was cleared later.

Allergies

Unknown