Received Aug 20, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | UNK | Y013818 | IM / RA |
| MNQ | MENINGOCOCCAL CONJUGATE (MENQUADFI) | SANOFI PASTEUR | UNK | U8573AA | IM / LA |
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | UNK | U8252AA | IM / RA |
After giving vaccines around 3 pm, the patient sat for about 5-10 minutes, but when got up to leave when she started to pass out when mom and sister caught her and lowered her to the floor. On assessment, the patient had passed out but then regained consciousness and was pale, weak, and reported dizziness/headache. Mom reports the patient did not eat since breakfast and that she didn't eat much for breakfast. See the following for notes on the patient's care: -3:10 pm: BP- 86/58, HR 53, RR 16, O2 98% on RA, A&Ox3 but unaware of where she is. -3:15 pm: blood sugar in clinic 174 -3:25 pm: 24 gauge IV started on left AC. 500 mL's of fluids started when ended at 4:00 pm. Patient a&o x 4, weak and pale -3:30 pm: BP 99/66, HR 64, 100% on RA, RR 18 -3:45 pm: BP 107/71, HR 65, 100% on RA, RR 18 -4:00 pm: BP 114/77, HR 80, 100% on RA, RR 18, patient sitting up, feeling better, a&o x 4. Fluids finished. -4:10 pm: BP 106/72, HR 78, 100% on RA, RR 18, patient sitting up, chatting with cousin, A&O x 4. NAD noted. Safe for discharge at this time. This provider walked the patient to the car, the patient tolerated well w/o dizziness. Instructed patient to eat when she gets home and to rest. Return to clinic if new symptoms develop or if symptoms worsen tonight, go to ER.
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Blood sugar - 174 (around 3:15 pm)