Received Aug 10, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAPIPV | DTAP + IPV (KINRIX) | GLAXOSMITHKLINE BIOLOGICALS | 3 | 52D72 | IM / RA |
| HEPA | HEP A (HAVRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | DN273 | IM / LA |
| MMRV | MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) | MERCK & CO. INC. | 1 | Z008501 | SC / LA |
Patient Presentation & Pre-Vaccination Assessment: Patient presented accompanied by her parents 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. The patient appeared slightly anxious after observing her sister experience dizziness earlier during vaccination. She was reassured and encouraged to remain calm. After reviewing the patient?s vaccination record, it was determined that 5 vaccines were due: Hepatitis A, DTaP?Polio, and MMRV (3 injections total). The mother was informed of the vaccines and potential adverse reactions, and was provided with Vaccine Information Statements in (withheld). She verbalized understanding and signed informed consent. Vaccination Administration: Vaccines were administered as indicated. Adverse Event: At 15:30, immediately after vaccine administration, the patient reported feeling dizzy. She was placed in a supine position with legs elevated, and an alcohol pad was provided for inhalation. The patient was not pale and did not lose consciousness. Initial vital signs: BP 90/72 mmHg, HR 105 bpm, SpO2 99%, RR 31/min, Temp 97.1°F. She was monitored for 15 minutes, during which she reported feeling better, though she appeared apprehensive. Monitoring & Outcome: At 15:40, vital signs were: BP 98/76 mmHg, HR 100 bpm, SpO2 99%, RR 20/min, Temp 97.7°F. The patient was alert, conscious, oriented, and conversing with her parents. She was instructed to remain seated under observation. After an additional 5 minutes of monitoring, the patient ambulated from the area without complications, accompanied by her parents and sister.
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