Report #2850111

Overview

Sex

Female

Age

14 yrs

State

CA

Recovered

Recovered

Vaccinated

Jul 17, 2025

Onset

Jul 17, 2025

Days to onset

0

Hospital days

—

Symptoms (5)

Symptom narrative

Patient arrived at clinic with her mother and 3 younger brothers for vaccines required for school. Patient was sleepy on arrival, lying back on procedure bed with her eyes closed while waiting. Sat up and was alert during administration of vaccines. After the 4th vaccine was given (Hep B), band aids were being applied and pt slumped into nurse's arms from a sitting position; no fall or head trauma. Patient lost consciousness for approximately 10-15 seconds and then blinked awake. Patient stated, "I didn't realize I had fallen asleep", pt continued to blink rapidly and appeared to be dizzy but was able to answer questions and speak coherently. Instructed patient to remain seated and to lie back on the bed. Nurse asked patient if she had eaten anything that morning to which patient responded she did not. Nurse provided apple juice and goldfish crackers to patient and encouraged the patient to remain seated/lying down. Patient did not initially drink the juice or eat the crackers. 2-3 minutes after syncope patient then vomited a small amount x1. Patient remained lying back on the bed for approximately 15 minutes, in and out of sleep. Nurse was able to schedule a same day appointment with a doctor in the clinic. Prior to standing, Nurse had the patient drink a few sips of the apple juice, then sit up slowly and take some deep breaths before standing. Patient was evaluated by MD and suspected to have had a vasovagal syncope episode. Per Mother of child, patient had a similar episode approximately 1 year ago during hot weather. MD provided Pedialyte and patient stated she was feeling better. Return to clinic instructions provided to patient and mother. Mother verbalized understanding.

Current illness

N/A

Medical history

Seasonal allergies

Other medications

Loratadine, Flonase

Allergies

NKDA

Lab data

N/A