Received Aug 13, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HEPAB | HEP A + HEP B (TWINRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | P2443 | IM / RA |
| TYP | TYPHOID VI POLYSACCHARIDE (TYPHIM VI) | SANOFI PASTEUR | N/A | Y2A031M | IM / LA |
Client attest to feeling well today, ate lunch about 12:30 PM today. Client traveling from 8/30/25 - 9/13/25 for mission. Client declined recommended vaccines due to perceived as low risk. Client educated concerning the risk for rabies, and pre/post -exposure prophylaxis. Teaching given on food and water safety, TD prevention and treatment, mosquito prevention. VIS, SE, risk / benefits reviewed. Health Alerts reviewed. Client declined Azithromycin for TD and declined malarone for malaria prevention. Client received full dose Typhoid Vi on the left deltoid and full dose Hep A/B (Twinrix) on the right deltoid at about 14:56. About 1 minute after vaccine administration, nurse noticed client became pale whole body including face, unresponsive less than 30 seconds, stiff whole body as if having a seizure, and gasping for breath. Client already siting in the recliner in the treatment room both legs were elevated, and cold compress applied to chest area. Clients husband was present and assisted nurse by bringing water for client to drink. Client regained full consciousness in less than 2 minutes. Client declined paramedics / 911 called at this time. Vital sigs taken were B/P 117/66 P70, Temp 98, R18, O2sat 99%. Client alert and oriented, talking to staff and spouse, with skin color returned to normal. Client reported feeling dizzy, nauseous, hot and cold flushes, slightly diaphoretic during episode. Client states never had any issues with receiving vaccination in the past. Clients medical history includes no allergies and no medication. Phone call to nurse Supervisor at about 1512 to report the incidence. Client remained in the clinic for about 30 minutes post episode and left home with husband as the driver. Client educated to call 911 if symptoms continues as well as follow up the primary care provider for further evaluation. Client had no further questions. Nurse placed a phone call to client later in the day to check to see if arrived home safely went to voice mail.
None reported by patient.
None reported by patient.
None reported by patient.
None reported by patient.
None