Report #2867145

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: 16 yrs
State: TX
Recovered: Recovered
Vaccinated: Oct 20, 2025
Onset: Oct 20, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	NA0587	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUBLOK)	SANOFI PASTEUR	1	U8832CA	IM / RA

Symptoms (2)

Confusional stateSyncope

Symptom narrative

PT EXPIERENCE SYNCOPY DIRECTLY AFTER ADMINISTRATION OF 2ND VACCINE. PT REGAINED AWARENESS IN 30 SECONDS BUT WAS CONFUSED. AFTER 5 MINUTES PT RETURNED TO NORMAL

Current illness

NONE

Medical history

ADHD

Allergies

NONE

Lab data

NONE