Report #2867113

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: Male
Age: 26 yrs
State: NY
Recovered: Recovered
Vaccinated: Oct 15, 2025
Onset: Oct 15, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (UNKNOWN))	UNKNOWN MANUFACTURER	UNK	3052741	IM / LA

Symptoms (1)

Malaise

Symptom narrative

Systemic: from the information provided to us: patient may have been feeling lightheaded, dizzy, sweating, may have balcked out a few seconds,-Medium, Additional Details: Patient was feeling ill after receving the flu and moderna covid vaccines, called EMT, patient was evaluated at the hospital; patient did very well shortly after his medical episode, followed up with patient night of event and he was doing very well and was sent home for ER as well same day., Other Vaccines: VaccineTypeBrand: Flucevax; Manufacturer: Seqirus; LotNumber: 407010; Route: IM; BodySite: Right Arm; Dose: ; VaxDate: UNKNOWN

Allergies

No known allergies, reported by patient