Received Mar 25, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUARIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 5RE93 | IM / LA |
| HEP | HEP B (HEPLISAV-B) | DYNAVAX TECHNOLOGIES CORPORATION | 1 | 945659 | IM / RA |
| IPV | POLIO VIRUS, INACT. (IPOL) | SANOFI PASTEUR | 1 | X1D141M | SC / LA |
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | LX494 | IM / LA |
Patient became dizzy and lightheaded after last dose of vaccine given. Patient was moved to bench and cool air and towel placed on neck. Patient was also given a soda to sip. Patient passed out while sitting on bench being assisted by two nurses. Used ammonia swab to wake patient up. Patient was able to talk to nurses then he went out again. Ammonia swab used again. Patient came around and was lowered to the floor and placed on left side. Patient was able to tell us his name and date of birth. Patient was kept in recovery position until he felt better. Patient was then escorted to his car where his wife was. BP checked several times: 9:44am- BP-108/62 P-79; 9:46am BP-78/48 P-559; 9:48am- BP- 97/71 P-68; 9:50am- BP-94/68 P-72. Patient also had a TB skin test placed prior to vaccines being given. After event, patient stated that this happened when he had blood drawn yesterday. Explained to patient that he did not report this when he was asked about previous reactions he said no. Advised patient to report this in the future when receiving vaccines or having blood drawn. Patient voiced understanding.
none
none
none
none
BP checked several times: 9:44am- BP-108/62 P-79; 9:46am BP-78/48 P-559; 9:48am- BP- 97/71 P-68; 9:50am- BP-94/68 P-72.