Received Jun 25, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| YF | YELLOW FEVER (YF-VAX) | SANOFI PASTEUR | 1 | UK138AA | SC / LA |
Patient walked in for yellow fever vaccine, technician entered details, reviewed patient VAR, and allergies, Patient stated she had idiopathic allergies and does not know what she is allergic to per her blood work from MD. Patient understood potential risk for reaction and wanted to proceed with vaccination for her trip (patient stated it is required for entry into the country) and stated she has an EpiPen. Patient received vaccine, was asked to wait a minimum of 15 minutes to monitor for adverse events. Approximately 5 minutes after receiving vaccine patient states her mouth feels swollen. I asked if she was having any difficulty breathing, she stated no. A few moments later when I checked in with her she requested Benadryl. I provided her with 50mg of Benadryl and continued to monitor for signs of anaphylaxis. Continued to monitor and informed patient she will need a driver to take her home after taking Benadryl. She contacted a family friend to come pick her up and another friend to drive her car home. I asked if anyone would be home to monitor her and she said her husband would be home at 5:30PM. I asked if her friend would be able to remain with her until her husband got home a to which she said yes. Shortly thereafter she stated her insides "feel weird". I asked if it could be anxiety related to which she stated she has a history of a panic attack 2 years ago. She was sitting in the lobby after taking Benadryl approximately 10 minutes later she became short of breath and began coughing. Code green was called. She appeared panicked and I asked if she was having trouble breathing she nodded. I asked if she would like me to administer EpiPen she couldn't agree verbally to which she nodded yes. I administered EpiPen 0.3mg into her left thigh and patient continued coughing until EMT arrived. EMT brought a stretcher and took her to the emergency room.
hypercholesterolemia, migraines, allergies, nerve pain
gapabentin, quilipta, ubrelvy, pravastatin, hydroxyzine
idiopathic allergies - discussed with immunizer prior to vacci