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Report #2868393

Received Oct 26, 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
12 yrs
State
NY
Recovered
Recovered
Vaccinated
Oct 25, 2025
Onset
Oct 25, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNAUNK3052835IM / LA

Symptoms (3)

Confusional stateDisorientationImmediate post-injection reaction

Symptom narrative

Immediately after receiving spikevax standard dose, child appeared to momentarily lose consciousness. He then appeared confused and disoriented. After several minutes of observation in the immunization room, an icepack was provided to mother and they were escorted to the waiting for further observation for approximately 15 more minutes, with the child using a second chair to keep his legs elevated. At all times child was accompanied by parent.

Current illness

none reported

Medical history

none reported

Other medications

Immediately after receiving spikevax standard dose, child appeared to momentarily lose consciousness. He then appeared confused and disoriented. After several minutes of observation in the immunization room, an icepack was provided to moth

Allergies

none reported

Lab data

none