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Report #2868678

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
Male
Age
28 yrs
State
MI
Recovered
Recovered
Vaccinated
Oct 19, 2025
Onset
Oct 19, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLUC4INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)SEQIRUS, INC.1407009IM / LA

Symptoms (3)

FallSyncopeUnresponsive to stimuli

Symptom narrative

Systemic: Fainting / Unresponsive-Mild, Additional Details: just unresponsive for 5-10 seconds and fall on floor , after allright ,

Allergies

no