Received Aug 10, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HEP | HEP B (ENGERIX-B) | GLAXOSMITHKLINE BIOLOGICALS | 4 | 3N2ND | IM / RA |
| HEPA | HEP A (HAVRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | DN273 | IM / RA |
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 1 | Y010656 | IM / RA |
| IPV | POLIO VIRUS, INACT. (IPOL) | SANOFI PASTEUR | 3 | Y1A212M | IM / LA |
| MMRV | MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) | MERCK & CO. INC. | 2 | Z003308 | SC / LA |
| TDAP | TDAP (ADACEL) | SANOFI PASTEUR | 1 | U8274AA | IM / LA |
Patient Presentation & Pre-Vaccination Assessment: Patient presented accompanied by mother and sister for immunizations. Full name and date of birth were verified. Screening for allergies to medications, vaccines, or foods, as well as any underlying medical conditions or contraindications, was negative per the mother. Last food intake was breakfast. After reviewing the patient?s vaccination record, it was determined that 7 vaccines were due: Hepatitis A, Hepatitis B, HPV, Polio, MMRV, and Tdap (6 injections total). The mother was informed of the vaccines, potential adverse reactions, and provided with Vaccine Information Statements. She verbalized understanding and signed informed consent. Vaccination Administration: Vaccines were administered as indicated. The patient appeared anxious prior to vaccination. Adverse Event: Approximately 3 minutes post-vaccination, the patient reported dizziness. Legs were elevated, and an alcohol pad was provided for inhalation. Symptoms improved, and the patient reported feeling better. At 14:41, the patient again reported dizziness and was observed to be pale. Legs were elevated. Vital signs: BP 78/66 mmHg, HR 50 bpm, SpO2 100%, RR 20/min, Temp 97.6°F. The patient stated, ?I no longer see blurry; I feel better.? Repeat vitals at 14:50: BP 78/62 mmHg, HR 73 bpm, SpO2 98%, RR 20/min, Temp 97.6°F. Monitoring & Outcome: Patient was monitored for 22 minutes. At 15:02, vitals were: BP 92/62 mmHg, HR 75 bpm, SpO2 100%, RR 19/min, Temp 98.6°F. She was alert, conscious, oriented, with normal skin color restored. She was instructed to lower her legs slowly and remain seated under observation. Monitored for an additional 15 minutes, during which she was given food and drink. The patient ambulated from the area without complications, accompanied by her parents and sister.
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