Received Mar 13, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| MENB | MENINGOCOCCAL B (TRUMENBA) | PFIZER\WYETH | 1 | LF5303 | SC / LA |
| MNQ | MENINGOCOCCAL CONJUGATE (MENQUADFI) | SANOFI PASTEUR | 2 | U8194AA | IM / LA |
Patient left the office in stable and normal state. After the vaccination, he walked out of the office with Mom. Few seconds later, Mom comes back to the front desk, saying, "something happened to my son". MA rushed to the parking lot with Mom. I also followed quickly. We found him in their car, sitting down. Mom said, as soon as he sat down in the car, he just suddenly started with mild convulsive movements for few seconds then passed out. He awoke after few seconds. When I arrived at the scene, he was awake, but slightly closing his eyes, sleepy, but responsive. He was looking pale and diaphoretic. He was responsive to my questions. He looked very anxious. His pulse was low at 55. He said he felt dizzy. I reclined the seat. After 45-60 seconds , we brought the O2 tank out into the car and started him on 3 LPM of 100% O2, because of persistent paleness and sleepiness. Despite the O2, he was still looking pale and complained that his vision was blurry and couldn't see a thing. His pupils were dilated. The car was exposed to the sun and his face was in the sun, so I asked the Mom to move the car closer to the office door. The distance was about 200 feet. O2 was continued for another minute. He was still looking pale and still sleepy, but awake. 911 was dialed by Mom approximately about 4-5 minutes from the time of his syncope. His vision returned and started to look pinkish. By the time EMS arrived , his vision was back and his color and alertness have improved. EMS took over and I left the scene. He was checked and was sent home in their car. He was not brought to ER. He seemed to have a vaso-vagal syncope and a slightly prolonged post-syncopal state. The triggering factor was vaccination.
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