Received Feb 13, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HEPAB | HEP A + HEP B (TWINRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | M4B34 | IM / LA |
| IPV | POLIO VIRUS, INACT. (IPOL) | SANOFI PASTEUR | 1 | X1C891M | IM / RA |
| MMR | MEASLES + MUMPS + RUBELLA (MMR II) | MERCK & CO. INC. | 1 | X026330 | SC / LA |
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | UNK | 9YB4G | IM / RA |
After receiving final injection, I was putting bandage on patient's arm and patient went pale and started to faint and slump forward in chair, his grandmother who was present and looking at him head on reports that his eyes rolled back. I tried to support patient to the ground but I believe he hit the side of his head on the desk when he slumped over patient came to his knees with my support but kind of nose dived and his head landed on the ground. I helped him to roll to his side and he started having uncontrolled seizure like movements for about 5-6 seconds then he sat up and asked what happened. Unsure if patient had seizure or vasovagal response. Patient was alert and oriented, able to answer all questions....after this incident but laid down for about 20-30 minutes after the incident. He reported some numbness in his left arm and his arms felt a little heavy/weird where the shots were given. The numbness in his arm resolved after a few minutes. He does not have a previous hx of seizures, but grandmother reports that patient's mother has had seizures after a TBI in 2016. Patient reports he had eaten breakfast before appt. Per report from patient's perspective he reports that he got the feeling like before he goes to bed and couldn't keep his head up anymore and then he felt like he was dreaming. The entire incident was about 10-15 seconds. Patient was monitored for about 30 minutes afterwards and reports he was feeling well but tired before leaving. He was given juice and a granola bar. Recommended patient follow up with provider regarding the incident and recommended patient lay down for future vaccines -LSW, RN.