Received May 27, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 1 | Z005469 | IM / LA |
| MNQ | MENINGOCOCCAL CONJUGATE (MENQUADFI) | SANOFI PASTEUR | 1 | U8124AB | IM / LA |
| TDAP | TDAP (ADACEL) | SANOFI PASTEUR | 5 | U8232AA | IM / RA |
At 10:45am, RN heard thud against documentation desk and mother shout for help from clinic room 3. RN entered to see client unresponsive and breathing on clinic floor. Ten seconds after RN entered room as RN assessing client, client roused spontaneously. Client disoriented to syncopal event, though alert and oriented. Client recognized mother immediately and responded appropriately to her. Client supported by RN while sitting on clinic floor. Client's skin pale, lips pink, and mucous membranes moist. Client stated being thirsty; water and teddy grahams provided. RN asked client if felt lightheaded or dizzy before event; client denied feeling lightheadedness/dizziness before syncopal episode. Client stated everything "suddenly went black." Asked if client ate breakfast before coming to visit; client denied eating breakfast this morning, which mother was unaware of because mother stated is atypical that client doesn't eat breakfast. Client able to tolerate water and grahams. After sitting on floor for 15 minutes, client stated feeling better; denied lightheadedness/dizziness. However, no change to skin condition. Mother assisted client slowly to standing. Had client stand for two minutes; client denied lightheadedness/dizziness. Client proceeded to slowly ambulate from clinic room 3 with assistance of mother and RN. Client ambulated to outside DON office before RN noticed signs client becoming lightheaded (client looking down at ground and balance wavering). RN had client stop ambulating, asked client if needed to sit down. Client at first denied needing to sit and denied lightheadedness, but then after 30 seconds asked to sit down against the hall wall. After client sitting, client asked for more water; water provided. Mother made arrangements for another adult to meet her at home to assist with watching client. After 15 minutes, no change to skin condition. RN asked client if feeling better. Client stated feeling marginally better and denied lightheadedness, but client does not feel able to ambulate from clinic to private vehicle. RN offered to escort client from clinic to private vehicle via wheelchair. Client and mother agreeable. Client able to stand to sit in wheelchair with minimal assistance and able to get out of wheelchair to private vehicle with minimal assistance. Gave final instructions to mother. Client left premises with mother via private vehicle at 11:23am.
Receiving diagnostic testing to determine if has asthma