Received Feb 8, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HEPA | HEP A (HAVRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 2345B | IM / RA |
| TYP | TYPHOID VI POLYSACCHARIDE (TYPHIM VI) | SANOFI PASTEUR | N/A | Y2A021M | IM / LA |
Patient with syncopal episode after second vaccine given around 9:25 am. Pt with no hx of fainting with vaccines in the past. Pt immediatly pale and laid pt supine on exam table raising legs. Pt with LOC for approx. 10-15 seconds, with some muscle tension present. More difficult to arouse, pt with return of consciousness and pale but fully aware of surroundings. Vital signs stable and able to sit up. Given juice and chips with some relief. Pt needing to lay down again in fear of faint. Pt recovery seemed extended, possibly due to dehydration and recent cold which resolved. Though initially refused ambulance, pt agree seemed a bit worse for her, I called EMS and ambulance came within minutes and evaluated by Paramedics, taken to Hospital near by. AVS given to paramedics. Husband and son came to clinic as well to be with pt. Pt agreeable to being evaluated further at ED.
cold symptoms resolving
thyroid disorder, hx of syncope with blood draw.
levothyroxine, sertraline
shellfish
unknown, taken by ambulance to hospital, recovered from LOC, but still felt faint after discharge from my care