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Report #2881618

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
29 yrs
State
CA
Recovered
Recovered
Vaccinated
Jan 11, 2026
Onset
Jan 11, 2026
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECHN/ANA4457IM / LA
FLU3INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSN/AP394KIM / LA

Symptoms (3)

Loss of consciousnessSyncopeVision blurred

Symptom narrative

Syncope in approximately 5 seconds after administration of second vaccine (influenza). Patient fell from seat to floor on his side. Patient regained consciousness within 5 seconds of adverse event. Patient was escorted outside vaccination room where he asked to drink some water. He then walked to the waiting area and had a seat. In about 2-3 minutes he complained about seeing blurry vision so I called 911 emergency services. Emergency services arrived within 5 minutes and questioned both me and the patient. The patient was allowed to go home.

Current illness

None

Medical history

Fear of needles

Other medications

None

Allergies

None