VAERS Explorer
Back to explore

Report #2869575

Received Oct 30, 2025

Office 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
10 yrs
State
OR
Recovered
Recovered
Vaccinated
Oct 30, 2025
Onset
Oct 1, 2025
Days to onset
—
Hospital days
—

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA13053667IM / LA
FLU3INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR1UT8861KAIM / RA
HPV9HPV (GARDASIL 9)MERCK & CO. INC.2Y019751IM / LA

Symptoms (4)

FallHead injuryPresyncopeSkin laceration

Symptom narrative

Patient had a vasovagal reaction, falling backwards and hitting head on computer and wall in exam room. Patient required one staple to the laceration in back of scalp due to hitting the computer.

Current illness

no

Medical history

none

Other medications

Multivitamin

Allergies

no

Lab data

none