Report #2875864

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: 35 yrs
State: FL
Recovered: Unknown
Vaccinated: Dec 1, 2025
Onset: Dec 1, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA MNEXSPIKE))	MODERNA	N/A	3052732	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUBLOK)	SANOFI PASTEUR	N/A	TFAA2538	IM / LA
HPV9	HPV (GARDASIL 9)	MERCK & CO. INC.	1	y020464	IM / RA

Symptoms (2)

Head injuryLoss of consciousness

Symptom narrative

WHILE SEATED DURING THE 15 MINUTE POST VACCINE WAIT PERIOD, PATIENT PASSED OUT. PATIENT BUMPED HEAD ON HIS WAY DOWN. REGAINED CONCIOUSNESS IMMEDITAELY, PARAMEDICS TOOK OVER MEDICAL ASSISTANCE. SUSTAINED LOW BLOOD PRESSURE AND HEART RATE FOR 10 MINUTES. VITALS RETURNED TO NORMAL AFTER THE 10 MINUTES.

Current illness

no known illnesses

Medical history

no known health conditions

Other medications

no known medical history

Allergies

no known allergies

Lab data

PARAMEDICS MONITORING VITALS ON SCENE. PATIENT REFUSED MEDIC TRANSPORT BUT STATED HE WOULD GO TO THE EMERGENCY ROOM FOR CONCUSSION PROTOCOL.