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Report #2880967

Received Jan 9, 2026

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
20 yrs
State
OK
Recovered
Recovered
Vaccinated
Jan 6, 2026
Onset
Jan 6, 2026
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (AFLURIA)SEQIRUS, INC.UNKAX5586CIM / LA
FLU3INFLUENZA (SEASONAL) (AFLURIA)SEQIRUS, INC.1AX5586CIM / LA

Symptoms (8)

HyperhidrosisLoss of consciousnessPallorSyncopeBlood glucose normalDizzinessImmediate post-injection reactionPresyncope

Symptom narrative

PHN applied flu shot at 1615 followed by PPD application. Patient reported feeling lightheaded immediately following PPD administration. Patient became pale and diaphoretic. Brief syncopal episode lasting approximately 10-15 seconds witnessed by PHN. PHN requested for other PHN staff to call for Code RRT. Patient regained consciousness spontaneously, was able to verbalize name to PHN prior to CODE team arriving. Manual blood pressure at 1620 was 86/52 and was verbally reported to Code team. Patient's skin cool, pale and remained diaphoretic. Patient released to ED staff and transferred to ED for monitoring. Vital signs are within normal limits. Patient has a normal neurologic exam. States that lightheadedness has resolved. No other complaints at this time. I do feel the patient likely suffered from a vasovagal reaction to the needlestick. Immediate return precautions were discussed. Patient voiced understanding and was agreeable to plan for discharge. Patient discharged in stable condition.

Current illness

none

Medical history

Chronic Gastritis 2)Seasonal allergic rhinitis - 3)Gastroesophageal reflux

Other medications

FLUTICASONE PROP 50 mcg NASAL INHL Qty: Issu:05-20-25 16 for 30 days Sig: INHALE 1 SPRAY IN Refills: 11 Last:05-20-25 EACH NOSTRIL TWICE DAILY ; SHAKE Rx: Expr:05-20-26 BOTTLE GENTLY AND BLOW

Allergies

Penicillin

Lab data

glucose 113