Received Mar 14, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| VARZOS | ZOSTER (SHINGRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | K2BB7 | IM / LA |
Patient reported pain upon injection of dissolved Shingrix liquid in the vaccine room and I had him report to the consultation window for information on the booster date and observation. As I discussed the date range for 2-6 months he closed his eyes, leaned toward the consultation window and did not respond to verbal greeting. I ran out to him and had him sit down. I asked if he had breakfast and drank water today. He reported he had had breakfast but had not drank water for 1-2 days, just coffee that made him void. The blood pressure cuff from the vaccine room did not produce a value upon 3 attempts so a floor wrist BP monitor was utilized which also did not show a value. I told him there was sweat on his brow. He called his wife and she said she would come. I asked her to bring a BG monitor because his BP could be low, his BP was being measures and he could be having an allergic reaction. A bottle of water was given with 2 Hershey kiss candies.. Patient reported a lump in his throat, no chest, arm or neck pain, blurring vision and a headache. Paramedics were called. After the second water bottle was given with more chocolate I called his wife again. She was headed to the hospital, per her text but we notified her that we were still waiting for the paramedics. She said she would come to the pharmacy When the paramedics arrived I reported his symptoms with him. He was verbal, conscious. alert and oriented. This headache and blurred vision were improving and he was able to open his eyes again. Paramedics reported low BP about 70/50 and normal BG about 120. Paramedics had his care under control so I returned to the pharmacy for the care of other patients. Patient left with the paramedics. Called MD office spoke with medical assistant. Noted if he wants the 2nd Shringx vaccine and it is determined to not be an allergic reaction, he should get it at the MD office rather than the pharmacy. 6:20PM Called ER. He had been discharged. He did not answer his cell phone but ER released wife's cell phone. She said he is home and fine. It was a vasovagal reaction (suspected).
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LANSOPRAZOLE, TELMISARTAN
NKDA
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