Received May 7, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 2 | Y007991 | IM / LA |
Pt fainted approximately 2 minutes after HPV vaccine given. She was seated on the exam table and laid herself back as she fainted. Mom assisted as she was almost horizontal on the exam table. No injury occurred. Pt woke up on her own after approximately 15 seconds. She cried immediately and was very scared about episode that just occurred. She asked "what happened?" I explained to her that she fainted after her vaccine and that this can happen with the HPV or any vaccine/blood draw, etc. Dr. came to room to evaluate patient. Patient reported that has a headache and is nauseous but otherwise feeling better about 10 minutes after episode. Both parents, Dr., and this RN in the room when patient was advised after 15 minutes she could slowly stand up if she was ready. She was able to stand up with standby assist and reported she feels ok to leave the office. Emesis bag provided to pt in case of vomiting after leaving office. Father did assist her out of the office with his arm around her arm in the event dizziness/fainting reoccurred. Pt discharged with both parents and all belongings. All questions/concerns addressed before discharge. BP at start of visit 115/74 HR - 100. 5 minutes after syncopal episode BP 132/84 HR - 100, 15 minutes after episode BP 121/78 HR - 100
vertigo
Vitamin D deficiency, elevated thyroid levels, elevated liver enzymes possibly due to being overweight
Meclizine 12.5mg tablet Three times daily by mouth as needed for dizziness
Penicillin
None