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Report #2881348

Received Jan 10, 2026

Office 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
15 yrs
State
NC
Recovered
Recovered
Vaccinated
Jan 5, 2026
Onset
Jan 5, 2026
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALS1ES4H5IM / LA

Symptoms (9)

Chest discomfortChillsCyanosisElectrocardiogram normalLoss of consciousnessNauseaPallorParaesthesiaSeizure

Symptom narrative

Patient briefly passed out (10 seconds or less) after receiving the flu vaccine. Per dad, the patient slightly convulsed and was really nervous about receiving the vaccine. The patient looked pale for a couple of minutes after receiving the vaccine. Patient had some OJ and a granola bar right after (he had not had anything to eat for the previous 5 or 6 hours and just finished an intense school sport practice). Symptoms and BP were monitored. Patient begin to shiver, complaining of tingling in arms, fingers, and ankle, felt a little nauseous and had some discomfort in chest. 911 was called. Patients fingertips began to turn blue. Patient remained conscious and breathing. BP was fine and stable. EMTs arrived and assessed the patient. They did not believe it was an anaphylactic reaction (throat, breathing and no rashes). EKG was performed and it was normal. EMTs released patient. The time frame for this event was around 45 minutes. The patient has never had a reaction to the flu vaccine before.

Current illness

No

Medical history

No

Other medications

Concerta

Allergies

No

Lab data

None