Report #2884673

Received Feb 7, 2026

ER / ED 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: 49 yrs
State: DE
Recovered: Recovered
Vaccinated: Dec 14, 2025
Onset: Dec 14, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	8146751	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	UNK	U8919AA	IM / LA

Symptoms (1)

Loss of consciousness

Symptom narrative

patient said after he went home he later passed out and and taken to the ER. he came to the pharmacy and said he is ok now on 2/7/26

Current illness

unknown

Medical history

kidney

Other medications

patient recieved flu and spikevax and he said he later passed out

Allergies

none

Lab data

unknown