Received Jul 31, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 1 | X022737 | IM / RA |
| MNQ | MENINGOCOCCAL CONJUGATE (MENQUADFI) | SANOFI PASTEUR | 1 | U7950AA | IM / RA |
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | KR75K | IM / LA |
10:50 code blue called to lobby, myself and RN responded, crash cart and AED on site, 911 called by PHOA. Mom and PHOA reported that patient was walking to check out area and fell to chair then floor. Initial VS and exam: 108/78, HR 96, pulse ox 98%, pale, disoriented, HR RRR, lungs CTA, PERRLA, slight erythema to left side of neck and back of head Mom reports NKDA, only medication is singulair, no known medical hx, family hx juvenile myoclonic epilepsy. Patient reports had not eaten today. Today's event happened about 2 minutes after vaccinations were given. Has had one prior syncopal episode after tooth was pulled with much blood. Suspect vasovagal syncope; however pt hit head and will await EMS for further evaluation. VS recheck: 100/72, HR 77, pulso ox 97%, patient alert and oriented. Patient provided with crackers and water/mountain dew. EMS arrived at 11:26 and performed EKG and further examination and agreed with probable vasovagal syncope. Mom declined EMS transport to ED at this time. Counseled to immediately call 911 if reoccurence or any other symptoms today. Take it easy, rest. Eat a meal. During vaccinations/blood draws in future recommend lying flat during procedure and for 15 min after.
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NKA
SEE ABOVE