Received Aug 6, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| MNQ | MENINGOCOCCAL CONJUGATE (MENQUADFI) | SANOFI PASTEUR | 1 | U8325AB | IM / RA |
Patient very upset before vaccination. Vaccination administered. Following vaccination developed a 5-8cm area of warmth and erythema at the site. Also developed some macular and hive-like lesions on neck and chest. Patient reported feeling dizzy and pre-syncopal. I was called in to the room to assess the patient. She was well appearing but hyperventilating and laughing. No evidence of anaphylaxis. Ongoing injection site reaction and urticarial lesions on neck. No resp. distress. No changes in vitals. No angioedema. After about 10-15 minutes injection site reaction lighter and less warm. 50mg of Benadryl was given out of abundance of caution. Lesions on neck resolved (they resolved in 10 minutes or less). Patient then rested ate some food and had some juice and was feeling better. At about 30 minutes post immunization the patient reports that she developed a headache and began hyperventilating. 325 mg Tylenol given. Advised and demonstrated slow deep breathing. She was advised to lay back down and to rest with close monitoring. Vitals remained stable and without reported or observed s/s of anaphylaxis. After this rest period x 30 minutes. She was allowed to depart. At this time injection site reaction was almost completely gone. No further rashes, and no s/s of anaphylaxis. She did report feeling fatigued from Benadryl and panic from previous.
None
Intermittent asthma
Pro Air HFA - 2 puffs every 4 hours PRN
No known
Blood pressure and vitals.