Received Aug 15, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 1 | X025115 | IM / LA |
| MNQ | MENINGOCOCCAL CONJUGATE (MENQUADFI) | SANOFI PASTEUR | 1 | — | IM / RA |
| TDAP | TDAP (ADACEL) | SANOFI PASTEUR | 1 | U7983AA | IM / RA |
Immediately after 3rd vaccine administered into left deltoid patient complained that throat felt like it was tight and ringing in her ears. Also stated she could taste something in her mouth and said she did'nt feel well. Laid her down and got cool wet wash cloth. No rash or edema noted. Heart rate regular at 74 and lungs CTA. Skin warm and dry. No undue anxiety noted. Father and brother in room .Within several minutes she said throat and ears were improving. Gave her a few more minutes, sat her up and drank an entire 8 oz bottle of orange juice and then some cold water, without difficulty. Another couple of minutes later she said throat and ears were back to normal and no other symptoms occurred. Remained without rash or edema. Monitored for approx another 30 minutes and both father and patient felt ready to go. Did tell both father and patient that she must remain in view of responsible adult for remainder of the day and should any rash, swelling, trouble breathing or throat swelling occur call 911 immediately. Also informed both them that she must never take another vaccine without first informing the provider about this episode. Both acknowledged understanding.
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