Report #2869183

Received Oct 28, 2025

ER / ED visitOffice visit

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: 19 yrs
State: WA
Recovered: Not recovered
Vaccinated: Oct 22, 2025
Onset: Oct 22, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	3052733	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLUBLOK)	SANOFI PASTEUR	UNK	TFAA2503	IM / RA

Symptoms (7)

Blood test normalFeeling abnormalHeadacheNauseaPyrexiaSyncopeUrine analysis normal

Symptom narrative

10/22/25 - 10/23/25 - Fever, took Advil, 10/23 Fainted, went to the ER (withheld name, city, state), 10/23-10/24 Felt dazed all day. Currently feels dazed off and on. 10/24 to today - Headache with Nausea. Was 6-7/10, currently 4-5/10. Headache is worse with movement, especially with changing position up and down.

Current illness

None

Medical history

Asthma

Other medications

None

Allergies

Seasonal allergies

Lab data

10/23/25 - blood and urine tests done at (withheld name) ER (withheld city, state) were normal per patient.