Received Sep 4, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HEP | HEP B (ENGERIX-B) | GLAXOSMITHKLINE BIOLOGICALS | 2 | MD9SL | IM / RA |
30 y.o. female with PMH hypothyroidism (on levothyroxine) and current pregnancy (EDD 09/26/25) presented for 2nd dose of Engerix-B hepatitis b vaccine. Vaccine was administered at approximately 8:50 AM and pt remained in clinic for 15 minutes following vaccine administration to be observed for side effects, per facility policy. No side effects observed, and pt reported feeling well when she left clinic after 15 minutes. Pt reports onset of blurry vision and lightheadedness at around 9:30 AM while working on her computer and starting to eat breakfast. She initially attributed these symptoms to low blood sugar - as she usually eats breakfast at 7:30 AM, but hadn't eaten until 9:30 AM today. She then became concerned symptoms might be a side effect of the vaccine, so she returned to clinic at 9:40 AM. BP 128/85, HR 95, SpO2 99%, BG 104. Pt reported normal fetal movement. Pt reported feeling better immediately following vital signs. 911 was called. Pt was evaluated by EMS. She declined transport to the emergency room. Pt's OB office was called and her OB was informed of her symptoms. Pt was advised to monitor for symptoms, given emergency precautions, and advised to follow up with OB at scheduled appointment next week, or sooner should she develop symptoms. VS were repeated and WNL. Pt reported feeling well, and she left clinic.
None known.
Hypothyroidism; current pregnancy (EDD 09/26/2025)
Prenatal vitamin, levothyroxine 50 mcg, ketoconazole shampoo
Per pt allergies are per allergy panel testing: Animal Dander, Dust Mite, Soy. Runny nose with animal dander and dust mites. Pt reports eating soy without issue.
While symptomatic: BP 128/85, HR 95, SpO2 99%, BG 104.