Received Aug 13, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HEP | HEP B (HEPLISAV-B) | DYNAVAX TECHNOLOGIES CORPORATION | 4 | 946062 | IM / RA |
1015 Heplisav B 4th dose given, 1045 pt complaint of itchiness denies SOB or Chest pain. Benadryl 50mg IVP given per protocol. Notified MD cont. to monitor V/S closely. Pt started feeling not good, oxygen 4L NC given. Pt started complaining hard to swallow and stated her face feels swollen and looks agitated and anxious. RN open lines with saline drip giving extra saline. O2 sat 4L 96% BP 146/86 HR 120 , monitor V/S closely w/ hypotension noted. Another 150ml of NS given, pt denies dizziness. Solu Medrol 125mg IVP given over 5min per MD. Another RN initiated 911. Pt monitor by MD and 3 RN while waiting for 911. BP rechecked last reading @ 1117 105/45 pulse 113, 911 arrived and took over approx @ 1120 pt left via ambulance alert and oriented, and pt wanted to go to (withheld name) Hosp. Family informed afterward.
ESRD, anemia, hypertension, cardiomegaly
Heparin
Hectorol, doxercalciferol, iodine, ibuprofen, and recent Heplisav B