Received May 22, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUARIX) | GLAXOSMITHKLINE BIOLOGICALS | 3 | KM5GK | IM / RA |
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 1 | X023318 | IM / LA |
| MNQ | MENINGOCOCCAL CONJUGATE (MENQUADFI) | SANOFI PASTEUR | 1 | U7827AB | IM / LA |
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | 5 | X449Y | IM / RA |
Client was given four vaccines (Tdap, MCV4, HPV9, and Flu). Client states she did not eat since 10:00 a.m. Client was given tang juice prior to immunizations. After vaccinations given, assessed client, asked if she was dizzy while sitting, client denied any issues. Client stood up to grab a toy (rubber duck) from drawer and experienced syncopal episode falling to the floor. Unable to catch client, she then hit her front, left side of head on floor. Client awoke within 30 seconds to one minute. Client states she felt dizzy and her stomach hurt. Paramedics were called at this time and evaluated client. Vitals taken by paramedics at 3:05 p.m. (sitting) at 95/51 and "good" HR per paramedic, 100% Sp02. BP then taken by paramedics standing, 121/63. Paramedics state it was up to parents if they wanted client to go to hospital, parents opted to monitor client at home and not take her to hospital at this time. Client observed for 20 minutes longer after paramedics left clinic and laid down on patient bed with knees above head, ice pack behind neck and then given water and crackers. Client's BP at 3:22 p.m. taken again was 110/82. Client denied any dizziness, stomach pain, head pain/headache, nausea, or other symptoms at that time and fully recovered prior to leaving.
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NKDA
Vitals of client taken by paramedics at 3:05 p.m. sitting at 95/51 and "good" HR, 100% Sp02. BP then taken standing 121/63. BP of client then taken standing 121/63. After 20 minutes, client's BP was BP at 110/82 at 3:22 p.m.