Received Aug 10, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUARIX) | GLAXOSMITHKLINE BIOLOGICALS | N/A | 39R9B | IM / LA |
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 1 | Y012921 | IM / LA |
| MNQ | MENINGOCOCCAL CONJUGATE (MENQUADFI) | SANOFI PASTEUR | UNK | U8361AA | IM / LA |
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | N/A | 9JT4S | IM / LA |
PATIENT SCHEDULED 4 VACCINATIONS. THE PATIENT WAS IMMUNIZED FIRST WITH FLUARIX AND THEN GARDASIL. AFTER GARDASIL SHE FELT LIGHTHEADED AND OVERHEATED. THE IMMUNIZING INTER CALLED ME (RPH) INTO THE ROOM AND THE PATIENT APPEARED TO BE ON THE VERGE OF SYNCOPE BUT STATED SHE WAS JUST VERY AFRAID OF NEEDLES. SHE WAS GIVEN WATER AND PAPER TOWELS TO WIPE HER FACE. PATIENT AND HER PARENTS DECLINED OFFER TO CALL EMS. RECOMMENDED THE PATIENT NOT GET THE OTHER 2 VACCINATIONS (MENINGITIS AND TDAP) AT THIS TIME, BUT THE PATIENT STATED SHE FELT BETTER AFTER DRINKING WATER AND RESTING FOR 15 MINUTES AND PATIENT/PARENTS DECIDED TO CONTINUE WITH THE IMMUNIZATIONS. PATIENT REMAINED SEATED FOR 30 MINTUES WITH NO FURTHER ADVERSE EFFECTS.