Received Jun 16, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | UNK | Adu- BOO11 | IM |
Prior to vaccination, pt was asked if he has ever felt faint or dizzy/fainted after receiving a vaccine, which he denied. Vaccine was given around 10:50 am while pt was sitting. Shortly after vaccination (around 30 seconds) pt appeared to look faint. RN administering vaccine stood next to pt and verbally checked how pt was feeling. Pt was closing eyes and appearing dizzy. Pt was given juice and a snack which at this time pt did not have. Once pt was appearing to come more around, pt stated that he had not eaten much in the last 2 days. Staff was able to get pt to sit in chair and have snack for about 10 minute s and reporting feeling ok. Pt then got up from chair stating he was going to get his bag but would come back and finish snack. RN was then alerted by community health navigators in hallway that pt had passed out. RN went to pts side to check on him and assisted pt to sofa nearby. BP check 140/78, pulse 73, O2 100%. Pt stated that he did not hit head. Sports Drink and snacks were again given to pt as he had not eaten much recently. After pt had Sports drink and snack, staff assisted pt to a different room to lie on sofa. Pt stated he felt okay at this time but agreed to lay down for some time. After another 10 minutes, pt decided to leave facility, declining any other care. Pt appeared well to staff at this time.
None known
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None known
None reported
BP 140/78, Pulse 73, O2 100%