Report #2871787

Received Nov 10, 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: Female
Age: 27 yrs
State: TX
Recovered: Recovered
Vaccinated: Nov 2, 2025
Onset: Nov 2, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLUC4	INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)	SEQIRUS, INC.	1	409108	IM / LA

Symptoms (3)

SyncopeUnresponsive to stimuliUrinary incontinence

Symptom narrative

Systemic: Fainting / Unresponsive-Mild, Additional Details: she urinated , Other Vaccines: VaccineTypeBrand: Spikevax; Manufacturer: moderna; LotNumber: 8146670; Route: im; BodySite: left deltoid; Dose: 1; VaxDate: UNKNOWN, VaccineTypeBrand: Boostrix; Manufacturer: Glaxosmithkline; LotNumber: k4979; Route: im; BodySite: left deltoid; Dose: 1; VaxDate: UNKNOWN

Allergies

tree nuts