Received Sep 17, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 1 | Y013818 | IM / RA |
| MNQ | MENINGOCOCCAL CONJUGATE (MENQUADFI) | SANOFI PASTEUR | 1 | U8574AA | IM / LA |
Pt received the HPV and Meningococcal vaccine on 9/17/25 at 0935. Administered by MA. At 0939- The patient's mother was heard screaming out from exam room . MD- Dr., RN and MA staff entered the room to assess pt. Per Mother of patient at bedside pt became pale and briefly lost consciousness. Patient explains that she remembers speaking to the nurse and then awakening to see staff surrounding her. Upon entering the room, the pt was observed to be alert, AxO 4, respirations even. Pt voiced that she felt nauseous. To prevent aspiration pt was positioned in sitting position and emesis bag provided. Pt endorsed that she was very anxious prior to vaccine administration, and had not eaten or drank prior to her appointment. Initial set of VS recorded at 0940 were stable - BP- 99/67, HR 82, SPO2- 99%, RR 20, 0/10 pain. She reported feeling "tingles" in her bilateral arms. Pt encouraged to take slow deep breaths, assured of safety, cup of water offered ( encouraged to take slow, small sips). At 0943- the pt was seen vomiting into emesis bag. Post episode pt stated that she felt slight better and no longer felt tingles, radial pulses intact and even. Vital recheck done at 0950- VSS BP 98/70, HR 78, SPO2- 97%, RR- 16, 0/10 pain. Pt observed for another 10 minutes. 1000- Pt stated that she was feeling better, school absence note generated for today. ED precautions offered to pt and mother at bedside. If pt were to experience feeling dizzy, lightheaded, generally unwell, or experiences another episode of LOC to immediately seem emergency medical services. Pt and mother verbalized understanding. Pt was offered apple juice which she tolerated well and was sent home, steady gait observed while leaving. Per MD, d/t presenting symptoms and factors such as anxiety and lack of food or drink prior to vaccine administration- a syncopal episode is suspected.
No illnesses at time of vaccination/ up to one month prior
Chronic gingivitis, plaque induced
N/A
No known allergies