Received Feb 17, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 1 | Y012864 | IM / LA |
Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Nausea-Mild, Systemic: Weakness-Mild, Additional Details: Patient exhibited a witnessed syncopal reaction within 5 minutes of receiving vaccines. She pronounced that she was feeling unwell, and then stumbled and fell to the ground. She was assisted to a bench and monitored by RPh and her father. She was given water to rehydrate and advised to sit with her head near her knees for 5-10 minutes, after which time she reported that she felt much better and well enough to stand and walk. Advised dad to monitor over the next several hours., Other Vaccines: VaccineTypeBrand: TDAP (Boostrix); Manufacturer: GSK; LotNumber: 9429J; Route: IM; BodySite: RD; Dose: 1; VaxDate: 02/14/2025, VaccineTypeBrand: Meningitis (Menquadfi); Manufacturer: Sanofi; LotNumber: U8194AA; Route: IM; BodySite: LD; Dose: ; VaxDate: UNKNOWN
NKDA