Received May 1, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (AFLURIA) | SEQIRUS, INC. | 7+ | AW1611A | IM / LA |
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 1 | Y014059 | IM / RA |
| MNQ | MENINGOCOCCAL CONJUGATE (MENVEO) | NOVARTIS VACCINES AND DIAGNOSTICS | 1 | AMAB056A | IM / RA |
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 3BH5K | IM / LA |
Patient had a vasovagal syncope episode after receiving HPV9 #1, Afluria (flu), Menveo #1, and Boostrix #1 vaccinations. Patient sat on the exam table for a minute after administration then stepped down from the table and took 4-5 steps towards the door to exit the room. Patient stopped at the door and appeared to be dizzy. Patient was helped to the ground without any injury. Patient's legs were elevated, and a cool, wet towel was applied to forehead. Patient was also offered sugar (lollipop). Patient's blood pressure was taken twice on left arm (1030: BP 110/73, P 91; 1040: BP 107/72, P 80). Patient was asked how was feeling and stated felt better. Patient was also able to answer questions appropriately (correct name as well as mother's name). Patient sat upright then was helped up and helped to a chair. Patient and mother waited while nursing staff reported the incident to the provider patient seen earlier this morning. Provider instructed that patient be monitored for another 20 minutes and if doing well could then leave the clinic. After 20 minutes, patient verbalized doing well. Nursing staff instructed mother that if patient has another lightheaded spell while walking to the car to have patient sit down, then have anyone near by notify our clinic or anyone with a badge to get help. Mother verbalized understanding.
Headache, sore throat, and low grade fever of 100.1 (states Mom).
None.
According to patient medication list, diphenhydramine (date and time of last dose is unknown).
Peanut oil.