Received Jul 31, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 1 | Y012776 | IM / RA |
Patient experienced an adverse reaction approximately 3 minutes after receiving Immunizations while mother inquiring of a rash of the upper extremities with assistance of Interpreter and Provider. After evaluating the rash, Patient was standing in front of chair interacting appropriately and suddenly became diaphoretic, dusky, shallow respirations collapsing towards floor with brief <5 sec. bilateral twitching of digits. She was assisted to the sitting chair position and then to a lying position with assistance of two additional chairs. Verbal & tactile stimulation provided, while being placed on the monitor and Oxygen therapy initiated via HFM open at 10 LPM via portable O2 tank. HR 102, SpO2 100%, RR 16 BMP, slowly regaining skin color, consciousness and respiratory efforts deep with intermittent crying spells and mild hyperventilation. Continued calm coaching of respiratory efforts with facial O2 in good position and airway patent. 911 dispatched EMS for ground transportation @ 09:47 AM. EMS arrived @ 10:00 AM. BG results 103, BP 137/84, HR 122, SpO2 100%, Awake, calm with intermittent crying spells when hearing her mother cry out to help her. 10:20 AM Sitting upright in chair, O2 removed, and ambulated from chair to stretcher with assistance for EMS ground transportation to ER for further evaluation.
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NKDA, NKFA
N/A