Received Jul 9, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HEP | HEP B (ENGERIX-B) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 7NX57 | IM / LA |
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | DY3K7 | IM / LA |
| VARCEL | VARICELLA (VARIVAX) | MERCK & CO. INC. | 1 | Y015559 | SC / LA |
Client received Varicella, Hepatitis B, and Tdap vaccines at 2:56 PM. Prior to administration, client had informed RN, that she had eaten lunch approximately ?20 minutes ago? and declined snacks that were offered. PHN provided two ice packs, one for the neck and one for the injection sites. Client returned to the waiting room where her father was waiting and sat down. At approximately 2:59 PM, client?s father notified, OA, that client was not feeling well and requested a cup of water. OA immediately alerted RN, RN , and PHN. RN brought out a mat, and RN assisted client in lying down. Client reported that she was feeling ?dizzy and warm?. At 3:00 PM, RN obtained vital signs (VS) while client was lying down; HR 60, BP 128/69, RR 19. Client was alert and oriented to person, place, and event. She denied experiencing any chest pain, shortness of breath, nausea, or headache and stated that she was ?feeling better?. Client was also engaging in conversation with her father. At 3:05 PM, VS was taken HR 65, BP 119/64, and RR 18. Client expressed that she wanted to sit up and stated, ?I?m okay?. PHN provided another ice pack for client to put on her neck. At 3:10 PM, VS were HR 80, BP 113/71, RR 18. Client was able stand up unassisted and moved to the chair. She denied experiencing any dizziness, nausea, shortness of breath or pain. At 3:12 PM, client reported that she felt okay to walk and left with her father. Client?s gait was steady. Advised client and client?s father to follow up with client?s primary care physician and to seek emergency care if symptoms return, or if client starts experiencing new symptoms.