Received Jul 21, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 1 | Z002903 | IM / LA |
5 minutes after receiving vaccine patient had an episode of vasovagal syncope. Patient lost complete consciousness for 20-30 seconds. Vitals were reassessed. After third attempt was able to obtain BP reading 82/45, blood sugar 94. EMS was called but mom denied transport and stated she would monitor at home. 12 hours after vaccine patient developed a non blanching rash on the anterior rash, petechial in size, given the history of HPV vaccination yesterday, will workup for any reason for petechiae. CBC and PT and PTT ordered which came back normal. About 30 hours after vaccine patient was advised to go to ED due to rash spreading to whole face and black dislocation in the mouth.
Eczema
Multi-vitamin with fluoride
NKDA
7/16/25: CBC, PT and PTT . Has follow up appointment in the office 7/22/25.