Report #2874185

Received Nov 21, 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: 31 yrs
State: CA
Recovered: Recovered
Vaccinated: Nov 21, 2025
Onset: Nov 21, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	8146545	IM / LA

Symptoms (3)

DizzinessFeeling abnormalSyncope

Symptom narrative

Patient received the vaccine and stated he was feeling a little "off" afterwards and a little lightheaded. Patient wen on with day after some rest and the proceeded to have a syncopal episode with slow recovery.

Current illness

N/A

Medical history

Asthma, seasonal allergies, Hx anemia, Celiac Disease.

Other medications

Wixela inhub 100-50mcg/act Aerosol, Albuterol

Allergies

Tetracycline HCl

Lab data

Vital signs only to monitor pt to return to normal status.