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Report #2881371

Received Jan 11, 2026

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
Female
Age
11 yrs
State
NH
Recovered
Recovered
Vaccinated
Jan 4, 2026
Onset
Jan 4, 2026
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUCELVAX)SEQIRUS, INC.1948428IM / LA

Symptoms (4)

DizzinessFallLoss of consciousnessPallor

Symptom narrative

Approximately 5 minutes after receiving the vaccine, the patient passed out. Fell to the floor, the father caught her. After a couple seconds she regained consciousness, but was very pale and also a little dizzy. We sat her in her father's lap in the chair and gave her some water while we called 911. We stopped giving water after EMS advised us not to. Patient stayed conscious while EMS arrived and seemed okay while being evaluated. Did not go to the hospital, and EMS determined that the passing out was most likely due to nerves from getting the vaccine.

Current illness

No other illnesses.

Medical history

No chronic or long-standing health conditions.

Other medications

No other medications at time at vaccination.

Allergies

No known allergies.