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Report #2880210

Received Dec 31, 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
14 yrs
State
ID
Recovered
Recovered
Vaccinated
Dec 7, 2025
Onset
Dec 7, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (AFLURIA)SEQIRUS, INC.N/AAX4142AIM / LA

Symptoms (1)

Presyncope

Symptom narrative

Patient experienced vasovagal response to vaccine with initial BP reading of 64/47. Patient monitored for 20 minutes with vital sign readings taken every 5 minutes. Subsequent BP readings were 91/57, 103,69, 100/85. Patient left the pharmacy with his family. Pharmacist tried to contact patient's parent to check on him the next day but never received a return phone call.

Current illness

Unknown

Medical history

None known

Other medications

Unknown

Allergies

None known

Lab data

None