Received Jul 30, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 1 | X026668 | IM / RA |
| MNQ | MENINGOCOCCAL CONJUGATE (MENQUADFI) | SANOFI PASTEUR | 1 | U8493AA | IM / LA |
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | 5 | CX4HL | IM / LA |
Patient into Health Department for required 7th grade vaccinations. TDAP administered first in LA, MCV-4 Quad administered next in LA, & HPV 9 administered last in RA. A few seconds after removal of needle from RA, patient complained of being hot, color turned ashen, then patient started heavy breathing, eyes rolled back and mild clonic response of upper and lower extremities was noted without loss of any bladder control. Clonic response lasted only several seconds then patient took very long deep breath and asked "what happened". Client was advised to put head between legs and take slow deep breaths. Ice pack was obtained and place on nape of neck. BP attempted immediately with electronic cuff, unable to initially read BP due to patient being upset, crying, and moving around. Patient calmed and and BP attempted again around 11:17 with a reading of 58/32, HR 71. Patient with c/o nausea but never did vomit. Client given apple juice to sip and fan obtained to provide cool air to patient. Patient's BP repeated at approximately 11:28 after patient had taken several sips of the juice, BP - 74/46, HR - 66. Patient continued to sit in chair with mother at her side. Patient began talking about her interest with color slowly returning to her skin and continuing to sip juice. At approximately 11:38, patient's color to skin had returned to close of that prior to vaccination. Patient stated feeling better with no c/o dizziness. Advised patient to slowly stand. BP 89/60, HR - 68. Patient denied any complaints at this time, other than "being tired". Color pink, vitals WNL. Patient ambulated out into lobby with mother and undersigned in attendance. Patient tol well. Client exited building with her mother & siblings at approximately 11:50 am. Mother was present during whole incident.
None reported
None
None reported
NKDA
N/A