Received Sep 25, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLULAVAL) | GLAXOSMITHKLINE BIOLOGICALS | 6 | 4D255 | IM / RA |
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 1 | Y013768 | IM / RA |
| MNQ | MENINGOCOCCAL CONJUGATE (MENQUADFI) | SANOFI PASTEUR | 1 | U8562AA | IM / LA |
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | 6 | 37R35 | IM / LA |
Patient was given Tdap and Meningococcal in the L deltoid and HPV and Flu in the R deltoid at 08:15am. Patient was c/o pain in the R deltoid but it did eventually subside. At 8:30am he was pacing in the room and c/o being light headed. He was asked to sit down to check vital signs. While attempting to obtain blood pressure, he started saying it hurt really bad so I took the cuff off and went to put it on the other arm and he vagaled. Oxygen saturation remained 95% for the 15 seconds he was out. He had 2 seconds of tonic like posturing. He immediately woke up after this and within 10-15 seconds he was A&O x 4. He vomited 20 seconds after waking up. Emesis x 2. Remained pale/green in color for about 20 minutes. He started to gain color back but still c/o nausea. Per VO from Dr, Administer Ondansetron 8mg orally NOW. Waited in clinic 15 minutes after zofran and he stated he was just weak in his legs. Educated about potential sleepiness from medication. Monitor for any seizure like activity and call us or report to the ER if this occurs.
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born premature at 34 1/2 weeks, ADHD,
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Sulfa Antibiotics