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Report #2879788

Received Dec 28, 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
9 yrs
State
CA
Recovered
Recovered
Vaccinated
Dec 28, 2025
Onset
Dec 28, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALS12LY39IM / LA

Symptoms (1)

Loss of consciousness

Symptom narrative

PATIENT HAS BEEN ALWAYS FINE WITH ALL HIS VACCINATIONS, A FEW MINUTES AFTER THE VACCINE HE BECAME UNCONCOIUS FOR A MINUTES, PHARMACIST CALL 911, AND BACAME ALERT AFTER A FEW MINUTES BACK TO NORMAL

Current illness

NO ILLNESS

Medical history

NO CHRONC OR LONG STANDING HEALTH CONDITIONS

Other medications

NOT AVAILABLE

Allergies

NO KNOW ALLERGIES

Lab data

NO RELATED MEDICAL HISTORY