Report #2875611

Received Dec 1, 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: 30 yrs
State: CT
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
COVID19-2	COVID19 (COVID19 (MODERNA BIVALENT))	MODERNA	UNK	na4459	IM / LA

Symptoms (3)

DizzinessSyncopeUnresponsive to stimuli

Symptom narrative

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient received flu and covid vaccine together and shortly after fainted and quickly recovered after sitting for a while and having a snack., Other Vaccines: VaccineTypeBrand: fluarix; Manufacturer: gsk; LotNumber: 5r4cy; Route: im; BodySite: left arm; Dose: ; VaxDate: UNKNOWN