Received Apr 29, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUZONE) | SANOFI PASTEUR | N/A | UT8434JA | IM / RA |
| HEP | HEP B (HEPLISAV-B) | DYNAVAX TECHNOLOGIES CORPORATION | 1 | 945665 | IM / RA |
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | N/A | L5229 | IM / LA |
Patient denied having syncope in the past. No records of vaccinations, in state database nor that patient brought. Flu, Tdap and Heplisav-B #1 vaccines administered. Tolerated well despite anxiety with needles. After administering the vaccines, venous blood collection began. During blood collection, patient passed out as 1st (of 2 vials were being collected). Right before he passed out, stated, "I feel like I'm going to pass out." Then immediately his skin turned pale and started sliding down out of the phlebotomy chair. Needle taken out safely after tourniquet was removed. Ensured patient was safe and did not slide out of chair while calling for more assistance. 1 more RN and 1 MA arrived. Ammonia towelette used on patient who continued to slide out of chair, so he was lowered to the ground in a sitting position against the chair/cabinet, and his body convulsed a couple of times. We supported his head so it didn't hit against the cabinet/chair. Within 20-30 seconds, patient regained consciousness. Patient states he did not eat yet that day. Patient was assisted to lie down on yoga mat. Color gradually came back and then pale again with repeated bouts of nausea. Emesis x3-5 after attempting to drink some water and eating 1 graham cracker. Patient stayed in employee health clinic until his Grandma was able to come get him roughly 40 min. after he contacted her to pick him up. Patient was assisted to Grandma's suv by MA and RN who administered the vaccines and was doing the blood draw. Wheelchair was used to safely bring patient to Grandma's suv. Instructed Grandma to seek medical care/call 911 if needed if patient's nausea didn't improve and he was still light headed. The following day (4/23,) patient was "almost back to 100% with a tiny bit of nausea." Patient reports being able to keep food down since the night before (4/22).
N/A