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Report #2868586

Received Oct 27, 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
Female
Age
11 yrs
State
MA
Recovered
Recovered
Vaccinated
Oct 18, 2025
Onset
Oct 18, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLUC4INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)SEQIRUS, INC.1407010IM / LA

Symptoms (4)

DizzinessInjection site erythemaSyncopeUnresponsive to stimuli

Symptom narrative

Site: Redness at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient felt dizzy and fainted at the front store after receiving her flu vaccine. Ambulance was called, she got checked out, all vital signs were normal. She was given some water, she sat on a chair, rested for a little while and got sent home.

Allergies

NKDA