Received Oct 1, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUBLOK) | SANOFI PASTEUR | N/A | U8823AA | IM / LA |
Acute episode of dizziness w/o additional symptoms - Vaccine administered to L deltoid w/o complication. Approximately 15 minutes after pt received flu vaccine, while seated in lobby during recommended waiting period, pt experienced acute onset dizziness. Rapid response was called by front office staff and RN responded immediately alongside many back-office staff. VS taken immediately - BP elevated to 186/95, HR 101, O2 sats 96% on RA, Temp WDL. Pt denied SOB, chest pain, vision changes, headache, N/V. Pupils round, equal (2mm) and reactive to light. Pt A&Ox4. Pt w/ rt sided tremor at baseline which had become more pronounced during incident. No fall occurred. Pt was given sips of water and apple juice. After 3 minutes, VS checked - BP 168/88, HR down to 79. Pt reporting dizziness has passed. Evaluated by PCP at this time - plan to continue monitoring pt for next 15 minutes, ok to leave clinic in absence of any additional changes and VS continue to trend towards pt baseline. VS taken again after 5 minutes - BP 153/85, HR 69. RN and MA sat with pt remainder of time to ensure safety and repeat VS. 15 minute VS check: BP 145/83, HR 75, 20 minute VS check: BP 130/80, HR 64. Pt denying dizziness at this time, able to stand comfortably. Continues to deny chest pain, headache, blurry vision, weakness, SOB. Pt states she feels well and safe to go home. Pt encouraged to wait in lobby as long as needed, but opted to leave at this time. Pt left clinic ambulatory and in NAD.
Pt was recently diagnosed w/ lumbar foraminal stenosis for which she received a spinal steroid injection 1 week prior to vaccine. Pt states she was also diagnosed with a CSF leak, however RN cannot find documentation of this condition in pt record.
Tremors to rt side, chronic back pain
NKDA