Received Apr 24, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| MENB | MENINGOCOCCAL B (TRUMENBA) | PFIZER\WYETH | 2 | LF5302 | IM / LA |
1:32pm- Administered vaccine into left deltoid. Monitored pt for any adverse effects, appeared well, denied any dizziness. Patient stood up and denied any adverse effects. LPN escorted patient and mother into waiting room to speak with PSR about scheduling appt and paperwork for when pt turns 18 years old in 2 days. 1:40pm- While standing in front of PSR desk, pt stated she was starting to feel dizzy. Moved pt to sit in chair. Pt appeared very pale and diaphoretic. Body felt hot to touch. Pt reported dizziness was worsening and vision was blurry. LPN immediately alerted RN and Dr. 1:43pm- Moved pt from chair into wheelchair then moved to chair in lactation room and elevated feet. Hooked up to Dinamap, blood pressure cuff applied to right arm along with pulse ox. RN and Dr. present. 1:45pm- Bp 67/28, pulse 53, pulse ox 100%. Gave pt juice box and cheez its, drank entire juice box and ate a few cheez its. Repeated manual blood pressure on left arm, 70/38. Gave pt another juice box and a water bottle. RN and LPN continued to monitor pt. 1:50pm- pt drank all of 2nd juice box and started drinking water. Pt reported dizziness and blurry vision was resolving. RN and LPN continued to monitor pt. 1:55pm- Repeated blood pressure on right arm, 105/72, pulse 72, pulse ox 100%. Dr. made aware. Pt reports she was feeling better, all sx resolved. No longer appeared to be diaphoretic or pale, color returned. Dr. gave verbal permission for pt to go home, advised sx were due to adverse reaction from vaccine, also dehydration. Mother was present for entire time and expressed understanding and felt comfortable taking pt home. RN reviewed proper hydration with pt and encouraged increase hydration and protein before sports practices and games. Pt admits she usually doesn't drink too much. RN and LPN escorted pt and mother to their car.
none
none
none
Allergic to Cefdinir