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Report #2881521

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
6 yrs
State
—
Recovered
Recovered
Vaccinated
Jan 1, 2026
Onset
Jan 1, 2026
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALS1—IM / RA

Symptoms (6)

CoughFallNauseaPallorRetchingSyncope

Symptom narrative

Pt given flu injection on right deltoid. Tolerated fine. He stood to the side while sibling was getting their vaccine and within a minute, fainted and fell over. Father caught him and patient woke up within a second or two of falling. He did not hit his head. Patient looked pale, made gagging motions and coughs. Given water and emesis bag. Rapid response team called. Patient was laid down and elevated legs. Pt lung sounds clear, no rash. Pt coughing due to nausea without emesis. Following assessment, patient sat up without dizziness and returned to sitting in a chair.

Allergies

None

Lab data

1/5/26 0830: Blood pressure: 67/41, heart rate: 112, Oxygen saturation 96% on RA. 1/5/26 0850: Blood pressure 81/58, heart rate 97, oxygen saturation 97% on RA.