Report #2879166

Received Dec 22, 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: 84 yrs
State: VA
Recovered: Unknown
Vaccinated: Dec 16, 2025
Onset: Dec 16, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLUA4	INFLUENZA (SEASONAL) (FLUAD QUADRIVALENT)	SEQIRUS, INC.	1	407241	IM / LA

Symptoms (3)

AmnesiaSyncopeUnresponsive to stimuli

Symptom narrative

Systemic: Fainting / Unresponsive-Severe, Additional Details: Patient was unresponsive for a couple of minutes. Did not answer when called his name or shook his arm. Contacted 911 however as I was on call with them he woke up not remembering anything.