Received Aug 20, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HEP | HEP B (HEPLISAV-B) | DYNAVAX TECHNOLOGIES CORPORATION | 1 | 945665 | IM / RA |
| IPV | POLIO VIRUS, INACT. (IPOL) | SANOFI PASTEUR | 1 | X1C891M | SC / LA |
| MMR | MEASLES + MUMPS + RUBELLA (MMR II) | MERCK & CO. INC. | 1 | Y004115 | SC / RA |
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | LX494 | IM / RA |
| VARCEL | VARICELLA (VARIVAX) | MERCK & CO. INC. | 1 | Y013347 | SC / LA |
Unknown if pt had adverse effect from vaccines but pt was administered 5 vaccines and from there pt was alert and oriented but after receiving the last vaccine, pt then fell back on to the exam table. Nurse offered water to pt. Pt accepted. From there, he drank and was still lying down for a few minutes. He then got up from the exam table and sat on chair and from there, his eyes rolled and fell onto the floor out of the chair. He was then propped up against the wall and nurse ran to get help. Once nurse returned, he was able to stand. Other staff members arrived to assist. Pt then wanted to go to the bathroom (realized he had an accident on himself). He was still able to stand after event.
Unknown
Unknown
Unknown
None
Blood sugar 8/20/25 taken as well as full set of vitals