Report #2871495

Received Nov 8, 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: 34 yrs
State: MO
Recovered: Recovered
Vaccinated: Oct 16, 2025
Onset: Oct 16, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	8146670	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUCELVAX)	SEQIRUS, INC.	1	407004	IM / LA

Symptoms (1)

Loss of consciousness

Symptom narrative

The patient received both vaccines he passed out for 15 seconds

Current illness

None

Medical history

None

Other medications

None

Allergies

None

Lab data

Blood Pressure 125/75