Received Sep 1, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| MNQ | MENINGOCOCCAL CONJUGATE (MENQUADFI) | SANOFI PASTEUR | 1 | u8438aa | IM / LA |
Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Additional Details: Pt became confused stumbling upon walking out of vaccination room. Immunizer asked pt to sit, who then became unresponsive and fainted. RPh on duty was called over to administer first aid. He was lowered to the ground and legs placed on a chair. He was pale and clammy and BP ranged between 90/60 to 68/40. EMS was called and within 20 mins he regained color and was able to respond and remember details such as name and school grade. , Other Vaccines: VaccineTypeBrand: boostrix; Manufacturer: GSK; LotNumber: H4K3S; Route: IM; BodySite: left arm; Dose: 1; VaxDate: 08/24/2025
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