Received Jun 30, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| MNQ | MENINGOCOCCAL CONJUGATE (MENQUADFI) | SANOFI PASTEUR | 1 | u8194aa | IM / LA |
Systemic: Fainting / Unresponsive-Severe, Additional Details: Patient got MENACWY vaccine in his left arm. In 5 min patient got HPV vaccine in right arm, was doing well for 2 minutes, and was talking. Suddenly fell face forward and was unconscious. Had a couple second episode of jerking movements, SBP 150, patient was diaphoretic, in a couple of minutes started talking and was oriented to self, situation and place, was complaining of face pain due to trauma to the lip from falling and right knee pain, as well as headache. Was thirsty and was drinking, Other Vaccines: VaccineTypeBrand: HPV; Manufacturer: merck; LotNumber: z005469; Route: IM; BodySite: right deltoid; Dose: 1; VaxDate: 06/24/2025
NKA