Received Apr 24, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 2 | Y012921 | IM / RA |
orders placed for patient to receive GARDASIL 9 VACCINE. Vaccine obtained and dual verified with LPN prior to administration, vaccination given per provider order. Pre-vaccination counseling provided and patient agreeable to vaccination administration. Verbal consent and confirmation obtained. Patient and father present both deny previous adverse reactions to vaccination administration and patient denies contraindications to vaccination. Vaccine provided via IM route to R deltoid w/o complication, patient tolerated well and conversational with her father and RN during administration. During post-vaccination observation patient noted to become pale and while seated began to experience a suspected vasovagal response, patient began jerking arms and legs and lost consciousness for ~3 seconds before recovering. On waking, patient reported no recollection of event. Pallor improved after event. GCS of 15, responds appropriately to all commands, pupils equal and reactive. Patient passed Neuro Exam w/o issue. PCP notified and in room to assess patient, similar findings. Patient provided with 8oz of juice and crackers and vitals rechecked. No further events. Vitals rechecked after 15 minutes and WDL. Patient reports no further feeling of lightheadedness and reports resolution of symptoms.