Report #2878425

Received Dec 17, 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: 16 yrs
State: NV
Recovered: Recovered
Vaccinated: Nov 30, 2025
Onset: Nov 30, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLUC4	INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)	SEQIRUS, INC.	1	406983	IM / LA

Symptoms (5)

FallHead injuryLoss of consciousnessSyncopeUnresponsive to stimuli

Symptom narrative

Systemic: Fainting / Unresponsive-Mild, Additional Details: PATIENT WALKED AWAY FROM PHARMACY WITH HIS FAMILY THEN FELL AND HIT HIS HEAD, DAD HAD HIM REST ON HIM AND HE REGAINED CONSCIOUSNESS AFTER A FEW MINUTES. PATIENT HADN'T MUCH TO EAT OR DRINK AT 2:25 PM AND A CUSTOMER CALLED 9-11 SO EMS CHECKED HIM AND EMS LEFT AT 2:45PM AFTER TREATING HIM. PT WAS BETTER SITTING ON THE CHAIR WITH MOM WHILE DAD BOUGHT SOME FOOD AT THAT TIME