Received May 7, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PNC21 | PNEUMO (CAPVAXIVE) | MERCK & CO. INC. | 1 | 1045A | IM / LA |
Patient was ordered PCV 21 vaccine after physical visit by provider. PCV 21 vaccine administered by nurse per order in patient's left upper arm. Patient was fasting at the time for blood work. Patient tolerated immunization well, walked to check out within clinic. At check out patient reports 10 minutes after vaccination that she felt suddlenly light headed and that it was hard to talk, noting she might faint. Sat down in the lobby and asked for help. RN came out to assess and assist patient, she brought patient back to exam room. Patient BP 132/82, HR 74 at 11:34. Patient laid on exam table with multiple blankes and hot packs complaining of shaking and chills with continued light headed ness. 12:08 patient BP 132/82, HR 75, O2 saturation 100% on room air. Patient complains of feeling tingly all over the exterior of her body. Denies chills or shaking at this time. Light headedness comes and goes. Denies itching, no swelling or rash, or changes in breathing. 12:45 Patient's blood pressure 115/74 HR 72. Provider advised patient to take home dose of PRN xanax once spouse at chair side. Patient ate crackers and states she is feeling much better. Moved to sitting position and responding with spouse. At 1:20 patient got up without assistance to bathroom, stable when walking, no complaint of light headed or dizziness. Patient departed clinic unassisted. All symptoms resolved.
Non-seasonal allergic rhinitis due to pollen, Asthma, CAD (generalized anxiety disorder), Recurrent cold sores, Iron deficiency anemia, Gastroesophageal reflux disease with esophagitis
Non-seasonal allergic rhinitis due to pollen, Asthma, CAD (generalized anxiety disorder), Recurrent cold sores, Iron deficiency anemia, Gastroesophageal reflux disease with esophagitis
Albuterol 90 Mcg inhaler; Alprazolam 0.5 mg tablet; Keflex 250 mg capsule; Zyrtec 10 mg tabet; Testosterone in versabase cream; Nexium 40 mg DR capsule; Estradiol 0.01% vaginal cream; MIEBO PF 100% Drop; Ondansetron odt 4 mg tablet; Progest
Sertaline and Clonidine
No further testing or lingering effects reported.