Report #2872525

Received Nov 13, 2025

ER / ED 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: 28 yrs
State: NJ
Recovered: Unknown
Vaccinated: Nov 12, 2025
Onset: Nov 12, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA MNEXSPIKE))	MODERNA	1	3053718	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUARIX)	GLAXOSMITHKLINE BIOLOGICALS	1	CY53G	IM / LA

Symptoms (1)

Syncope

Symptom narrative

Patient received both vaccines then fainted around 6pm 11/12/2025. emergency services were contacted and patient was taken to ER

Current illness

None

Medical history

None

Other medications

Unknown

Allergies

None

Lab data

Unknown