Report #2900378

Received Jun 16, 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: Female
Age: 17 yrs
State: CA
Recovered: Recovered
Vaccinated: Jun 16, 2026
Onset: Jun 16, 2026
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	UNK	U8889BA	IM / LA

Symptoms (4)

Cold sweatCyanosisHeart rate decreasedTremor

Symptom narrative

Pt was shaking, clammy hands, low heart rate, purple/ bule lips, oxygen normal, given food and water heart rate elevated returned to normal, had Pt waited in office for additional 7min, Pt stated she felt fine left the clinic without incident

Current illness

unknown

Medical history

Other medications

unknown; Mantoux (PPD)

Allergies

no known allergies

Lab data

N/A