Report #2867089

Received Oct 20, 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: 17 yrs
State: IL
Recovered: Recovered
Vaccinated: Oct 14, 2025
Onset: Oct 14, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (UNKNOWN))	UNKNOWN MANUFACTURER	1	3052668	IM / LA

Symptoms (5)

DizzinessLoss of consciousnessSeizureSyncopeUnresponsive to stimuli

Symptom narrative

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Seizure-Mild, Additional Details: Pt appeared ok after vaccine walked out of vaccine room passed out within 10-15 steps., Other Vaccines: VaccineTypeBrand: Flucelvax; Manufacturer: Sequirus; LotNumber: 409108; Route: im; BodySite: left arm; Dose: 1; VaxDate: 10/14/2025