Report #2881476

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: Male
Age: 14 yrs
State: NC
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	948428	IM / AR

Symptoms (4)

HypotoniaLoss of consciousnessSyncopeUnresponsive to stimuli

Symptom narrative

Systemic: Fainting / Unresponsive-Mild, Additional Details: PATIENT AND PARENT BOTH RECEIVED VACCINES, MOTHER FIRST. PATIENT SAT IN CHAIR, RECEIVED COVID VACCINE THEN FLU. BOTH GIVEN IN SAME ARM. PT SEEMED FINE AND THEN, LEANED FORWARD AS IF TO GET UP AND JUST SLUMPED FORWARD. PLACED PT ON FLOOR, ALMOST IMMEDIATELY REGAINED CONCIOUSNESS. HAD WATER AND SNACK AND DID NOT REQUIRE ADDITIONAL MEASURES, Other Vaccines: VaccineTypeBrand: SPIKEVAX; Manufacturer: MODERNA; LotNumber: 8146367; Route: IM; BodySite: ARM; Dose: ; VaxDate: UNKNOWN