Received Mar 21, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| MMR | MEASLES + MUMPS + RUBELLA (MMR II) | MERCK & CO. INC. | 1 | Y003499 | IM / LA |
Patient experienced diaphoresis, syncope, and pallor. Patient complains of head ringing. Pt had syncopal episode lasting about 2 minutes. Client feet elevated and provided water once alert and oriented to person, place, time, and situation. Client admits to fasting prior to vaccine administration. Patient's mother requested ambulance to be made aware, EMS called arrived on scene about 5-8 mins after call. Upon EMS arrival patient alert and oriented to person, place, time and situation, VS and FS obtained by EMS. Patient's mother declined hospital transport, signed with EMS. Client ambulated from clinic alert and oriented to person, place, time and situation with steady gait.
Mother denies
Mother denies
Mother denies use of supplements or prescriptions
Allergy to hay