Received Sep 18, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 1 | Z007396 | IM / RA |
| MNQ | MENINGOCOCCAL CONJUGATE (MENVEO) | NOVARTIS VACCINES AND DIAGNOSTICS | 1 | 3E99M | IM / LA |
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | M77CC | IM / RA |
Pt receiving vaccines during provider visit on this day. During well child visit/establishing care appointment, dad reports patient allergies to bee stings/mosquito bites and pt uses epi-pen for reactions. Pt given 12 year old vaccines: Tdap, Men4, and HPV. Dad reports NKA. Vaccines given at 1635 back to back with RN on one side of patient. Roughly 1 minute after receiving HPV vaccine pt reports arm hurting so RN left room to get cold pack. Pt then started hyperventilating stating she was feeling tingly, so this writter yelled down the hall for RN to get pcp NP. O2 was given starting at 2 liters, while PCP gave verbal order for Methylprednisone 125mg injection to be given. Dr called 911 for ambulance. Methylprednisone 125mg was injected into Left arm at 1640. Vital signs were taken during this time. BP 114/71, HR 117. Patient was reporting feelings of numbness in face going down into arms, swelling in throat, and presented with small amounts of stridor during breaths. Fire truck and ambulance appeared to clinic around 1648 to do full assessment on patient. After assessing patient Paramedic determined that it was not an anaphylactic reaction and thought to be more of an anxiety/panic attack from vaccines. Gave parent of patient option to decide if he wanted pt to go to ER for further evaluation. Father denied trip to ER, EMS left, and patient reported feeling better at this time which was 1705. Pt was wheel chaired out of the facility to transportation. Advised dad to keep close eye on pt for remainder of the day. If pt began to experience difficulty breathing or felt like throat was swelling at home, report to ER. Dad states understanding. No other concerns.
N/A
Ezcema
Dupixent subQ injection
Allergies are unknown from father.
N/A