Received Feb 25, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HEPA | HEP A (HAVRIX) | GLAXOSMITHKLINE BIOLOGICALS | 2 | TF27T | IM / LA |
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 2 | 1965035 | IM / RA |
Following administration of vaccines, client slid from chair onto floor. Client s father was seated on chair beside client. Client appeared pale and experienced a brief period of syncope. Client placed in supine position with legs elevated. Vital signs monitored. Client returned to consciousness within a few seconds. Vital signs stable and pupils equal, round, reactive, to light and accommodation. Father voiced concern for possible allergic reaction. Client s shirt removed, cool cloths and fan provided and tolerated well. Client s skin tone returned to baseline coloration within minutes. Continued to monitor client and vital signs. No symptoms of localized or anaphylactic reaction present. Within minutes client stated no dizziness, nausea, or other symptoms. No vomiting present. Client denied pain. Cool water provided and tolerated well; snack offered but declined. Continued to monitor client who was able to sit, stand, and walk around room without difficulty. Vital signs stable, activity and water tolerated well. Two small areas of redness present to intact skin of nose. Client denied pain and tenderness; no injury or bleeding present. Client s father denied concerns and declined emergency medical response. Client denied symptoms. Father encouraged to have client follow up with primary medical provider and to seek medical attention for client with concerns or changes in condition. Father voiced understanding. Client and parent encouraged to notify providers of syncopal episode prior to future injections or procedures. Client and parent voiced understanding. Regional medical director notified by telephone. Per regional medical director no further intervention indicated, no orders received. Regional immunization program manager notified by telephone. Client ambulatory with steady gait without assistance, accompanied by father. No symptoms or distress present at time of discharge from clinic.
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Amoxicillin