Received Aug 28, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| IPV | POLIO VIRUS, INACT. (IPOL) | SANOFI PASTEUR | 4 | w1b511, | SC / LA |
| MMR | MEASLES + MUMPS + RUBELLA (MMR II) | MERCK & CO. INC. | 1 | x026404 | SC / LA |
| MNQ | MENINGOCOCCAL CONJUGATE (MENQUADFI) | SANOFI PASTEUR | 1 | u8574aa | IM / LA |
child passed out immediately after injection of 3rd vaccine. noted that child looked at vaccine while being given, even after being told multiple times to look the other way, immediately after he slumped forward in chair and was noted to have fainted. was lowered to the ground by nurse and his lower legs were placed on nearby chair. within 1 minute he was conscious again, though disorientated. nurse and patients mother provided comfort and reminded him where he was and what happened. after approximately 5 minutes he was assisted to a sitting position on the floor and "scooted" over to a nearby desk that he could lean on while sitting, where he remained for the rest of the family's appointment (approximately 40 minutes). after that time he was assisted to stand, he denies dizziness, nausea, weakness or any other symptoms at that time and left the office with his family with no help. nurse checked back with mom later that day, approximately 5 hours after incident and she reported Jayden was feeling well and had no other symptoms at that time.
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