Received Jun 30, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| MMR | MEASLES + MUMPS + RUBELLA (PRIORIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | xx9n4 | IM / LA |
Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Details: Patient complained after shot of feeling light headed, went to go get water for her, by the time I got back with it my tech said she passed out in the chair. She was slightly resposive when I checked her, called 911 who sent paramedics and she was taken to the hospital from here. Bp was 80/60 when they checked. Patient's husband came later to report she recovered, relayed she had a semiglutide injection recently and was fasting for her blood draw that morning. , Other Vaccines: VaccineTypeBrand: heplisav-b; Manufacturer: dynavax; LotNumber: 946063; Route: IM; BodySite: left arm; Dose: 1; VaxDate: 06/20/2025, VaccineTypeBrand: Varivax; Manufacturer: merck; LotNumber: 2004455; Route: IM; BodySite: left arm; Dose: ; VaxDate: 06/20/2025