Received Aug 4, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 1 | Y015180 | IM / RA |
Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: PATIENT HAD ALREADY RECEIVED 3 VACCINES FROM A CLINIC BEFORE HE SHOWED UP TO RECEIVE 2 OTHER VACCINES; HAVRIX AND GARDASIL AT PHARMACY. PT HAD A DIZZY SPELL AND PASSED OUT BRIEFLY AFTER GARDASIL VACCINE. EMT WAS CALLED AND CHECKED PATIENT. EVERYTHING WAS OK AND PATIENT WENT HOME, Other Vaccines: VaccineTypeBrand: HAVRIX; Manufacturer: ; LotNumber: Z27PB; Route: IM; BodySite: RIGHT DELTOID; Dose: 1; VaxDate: 07/11/2025