Received Mar 7, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HEPA | HEP A (HAVRIX) | GLAXOSMITHKLINE BIOLOGICALS | UNK | DN273 | IM / RA |
| IPV | POLIO VIRUS, INACT. (IPOL) | SANOFI PASTEUR | UNK | X1C891M | IM / LA |
| MNQ | MENINGOCOCCAL CONJUGATE (MENQUADFI) | SANOFI PASTEUR | 1 | 48367AA | IM / LA |
| TDAP | TDAP (ADACEL) | SANOFI PASTEUR | 1 | U8252AA | IM / LA |
Pt. arrived at Clinic to receive immunizations for school. He was given 3 vaccines in his left deltoid one inch apart (Tdap,MCV4,Polio). He was given Hep A IM in the right deltoid and upon administering the vaccine he had a reaction. His parent was at his side as we tried to arouse him. Patient started turning pale, his head turn to the right side with feet extended. Help was called and Providers came to assist and started talking with patient. I. started talking with parents. Vitals were taken on patient with first set @10:25am BP-115/66 HR-85, O2Sats 96% T-97.7 R-20. Patient started responding to verbal command with color to skin. At 14:27 BP-118/69,P-64, O2sats @100% R-22. Patient transported into jeri chair with assistance. Given some water and a sugar snack. No problems with swallowing. Parents at patient side. Patient communicating and alert @1445 BP-110/71, P-68, O2sats @100%. Mother refused Ambulance service. Unable to finish immunizations on this visit and parent advised to take patient to pediatrician for other immunizations. Mother verbalized understanding. Pt. alert and talking. Monitored for another 45 minutes until end of visit. Pt. ambulated with a steady gait out the clinic.
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