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Report #2874423

Received Nov 24, 2025

Office 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
Male
Age
17 yrs
State
IN
Recovered
Recovered
Vaccinated
Nov 10, 2025
Onset
Nov 10, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLUC4INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)SEQIRUS, INC.12682292IM / RA

Symptoms (2)

SyncopeUnresponsive to stimuli

Symptom narrative

Systemic: Fainting / Unresponsive-Mild