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Report #2871388

Received Nov 7, 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
75 yrs
State
IN
Recovered
Recovered
Vaccinated
Nov 4, 2025
Onset
Nov 5, 2025
Days to onset
1
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA MNEXSPIKE))MODERNA13053777SYR / LA

Symptoms (3)

FallHead injurySyncope

Symptom narrative

PATIENT REPORTS SYNCOPE EPISODE OVERNIGHT INTO THE NEXT MORNING. PATIENT STATES FELL AT HOME AND HIT HEAD ON FLOOR, WENT TO ER. PATIENT STATES HAS LONG-STANDING HYDROCEPHALUS WITH SHUNT BUT KNOWS HOW TO NAVIGATE HOME WHILE UNSTEADY ON FEET.

Current illness

HYDROCEPHALUS

Medical history

HYDROCEPHALUS W/ SHUNT

Other medications

PREGABALIN, NORCO,

Allergies

SULFA

Lab data

UNKNOWN

Prior vaccinations

PATIENT REPORTS POSSIBLE SYNCOPE W VACCINATION IN PAST ON SCREENER