Received Jul 8, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 1 | Y013407 | IM / RA |
| MNQ | MENINGOCOCCAL CONJUGATE (MENQUADFI) | SANOFI PASTEUR | 1 | U8375AB | IM / LA |
| TDAP | TDAP (ADACEL) | SANOFI PASTEUR | 1 | U8015AA | IM / LA |
Client presents with mother and family members for childhood immunizations. VIS provided. Questionnaire/consent obtained/reviewed. Injections given without difficulty, bandaids applied. Returned to lobby. Per family, went to sit on chair and lost consciousness, family member was able to keep her in chair. RN observed her slumped over in chair. Other RNs were able to move her to the ground and elevate her legs using the chair. Vitals were obtained once she was positioned to her back on the ground. Initially, systolic was in 90's, diastolic was in 40's and pulse rate was 48 beats per minute using finger probe. Carotid pulse was slow but strong to palpation. Fan and cool rags were used to help stablize client. Client started to regain consciousness by opening her eyes. BP and pulse were rechecked, improved: 112/72 and pulse rate 70 bpm. Once client was able, staff assisted her to a sitting position and then helped her the chair and elevated her legs. Client had not ate or drank anything. Client was given a sugary snack to suck on once more alert and water provided. Family and staff remained at her side for 30 minutes until he was stable enough to walk to vehicle assisted by staff and family. Reassured family that this is a possible response to receiving injections. Will make a note on chart for when client returns for 2nd hpv immunization. Plan to recline client with legs elevated next visit and encouraged eating a snack or meal before injections.