Received Sep 8, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUZONE) | SANOFI PASTEUR | UNK | U8827AA | IM / LA |
Patient came in with 2 months of dry cough; diagnosed Allergic Prescription written for cetirizine and fluticasone nasal for home. vitals: HR 62 Temp 98.1F 43.2kg O2 sat 100%. At visit received flu vaccine at ~3:10pm. Mother with patient went one floor up to her appointment, while waiting at check in desk, patient fell and hit head on metal arm of waiting room chair. Had loss of consciousness and shaking x 2-3 seconds. Emergency response called. vitals BP 95/54 HR 64 RR 18 O2 sat 100% T98.4F. Peds and Peds ER arrived. Appeared pale but answered questions, oriented. Patient transported to ER, where was found to be alert and oriented, not post-ictal; vitals there: BP 114/73 HR 64 T97.9F O2 Sat 100% RR 21. Finger stick glucose was 104. Patient stated that had not eaten or drank anything all day. EKG unremarkable. Observed for few hours and discharged to home at ~6pm with diagnosis likely of vasovagal episode.
dry cough x 2months
astigmatism
none
NKDA
Finger stick 104, EKG without any abnormalities.