Report #2882498

Received Jan 20, 2026

Office visit

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: 9 yrs
State: CA
Recovered: Recovered
Vaccinated: Jan 17, 2026
Onset: Jan 17, 2026
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLUC4	INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)	SEQIRUS, INC.	1	406982	IM / LA

Symptoms (2)

SyncopeUnresponsive to stimuli

Symptom narrative

Systemic: Fainting / Unresponsive-Mild