Report #2874456

Received Nov 24, 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: 15 yrs
State: MA
Recovered: Recovered
Vaccinated: Nov 7, 2025
Onset: Nov 7, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (UNKNOWN))	UNKNOWN MANUFACTURER	1	3052864	IM / RA

Symptoms (4)

FallHead injurySyncopeUnresponsive to stimuli

Symptom narrative

Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient was unconcious for approximately 30 seconds. Patient fainted 2-5 seconds after immuniztion completed. Patient fell off side of chair and hit head, Other Vaccines: VaccineTypeBrand: flucelvax; Manufacturer: seqirus, inc; LotNumber: 407009; Route: im; BodySite: right deltoid; Dose: ; VaxDate: UNKNOWN

Allergies

NKDA