Report #2881474

Received Jan 12, 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: 12 yrs
State: MO
Recovered: Recovered
Vaccinated: Jan 2, 2026
Onset: Jan 2, 2026
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLUC4	INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)	SEQIRUS, INC.	1	410515	IM / LA

Symptoms (4)

FallLoss of consciousnessSyncopeUnresponsive to stimuli

Symptom narrative

Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient fainted and fell to the ground. Patient regained conscious within a couple seconds. Patient stayed in the facility for approximently 20 minutes. Patient offered water and ice.