Report #2875646

Received Dec 1, 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: Male
Age: 22 yrs
State: RI
Recovered: Recovered
Vaccinated: Nov 26, 2025
Onset: Nov 26, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLUC4	INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)	SEQIRUS, INC.	1	948422	IM / LA

Symptoms (11)

AstheniaDizzinessFatigueFlushingHead injuryHyperhidrosisLethargyLoss of consciousnessSeizure like phenomenaSyncopeUnresponsive to stimuli

Symptom narrative

Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Weakness-Medium, Additional Details: Patient passed out after second vaccine. Hit head on wall and then floor. Looked as if he had one convulsion. Called 911 immediately. Rescue and fire took over. , Other Vaccines: VaccineTypeBrand: spikevax; Manufacturer: moderna; LotNumber: 3052550; Route: IM; BodySite: R arm; Dose: 1; VaxDate: 11/26/2025