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Report #2868349

Received Oct 25, 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
13 yrs
State
WA
Recovered
Recovered
Vaccinated
Oct 25, 2025
Onset
Oct 25, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH1NA4457IM / LA
FLU3INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALS1cy53gSYR / LA

Symptoms (1)

Loss of consciousness

Symptom narrative

Vaccine appointment was at 2:45 pm. Prior to vaccination patient definitely seemed nervous and was very afraid prior to administering per immunizer. Patient received flu vaccine first, and then covid. Right after giving covid vaccine (within 5 to 10 seconds), immunizer was putting on band aid and the patient winced, tensed up, and passed out. Immunizer caught patients head, and immunizer described patient as passed out but also was tensing up straight in the chair for a few seconds. He awoke quickly after, and didn't remember what happened. Mother ran out of room and told us to call 911 in the pharmacy. While waiting for EMTs to arrive, patient was alert and oriented, we asked about history and if he had ate today etc. Per patient didn't eat since breakfast, and also father and brother have history of fainting with vaccines. We provided ice packs and juice. EMTs arrived and cleared the patient as okay. Patient and family hung out for a while until was ready to leave and okay. Per consent form--- patient hasn't had any previous history with vaccines reactions such as dizziness, fainting, seizures etc, no seizure disorders, hasn't been sick in past 24 etc. Advised mom to follow up with PCP and let them know about reaction.

Current illness

unsure

Allergies

no allergies listed