Received Oct 1, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 1 | Z002903 | IM / LA |
Prior to administering vaccines, patient stated to RN that she "hadn't eaten all day". RN offered and provided crackers and juice. When RN returned after drawing up vaccines, pt had consumed her crackers and half of the juice. RN administered Tdap and HPV vaccine, about 1 minute post vaccination; pt fainted/"passed out". Pt was unresponsive and pale. RN and RN applied ice packs to patient's back of neck, forehead, and chest. RN also applied the supplemental O2 via Nasal Cannula. Pt became responsive after approximately 20 seconds. Vitals steadily improved (see adverse event form and below), pupils were equal and reactive throughout incident. Pt's color returned and pt was alert & oriented after less than a minute. Pt was provided water and sat on exam table being monitored by RN staff. Program director, RN; was notified of the adverse event. Pt remained in clinic and monitored for approximately 25 min. Pt left clinic independently with mother and sister. RN reported event to VAERS. @1324: BP: 108/95 (laying down), Pulse: 61, Resp rate: 24, O2: 83 @1330: BP: 96/83(sitting), Pulse: 73, Resp rate: 16, O2: 98 @1335: BP 103/88 (sitting), Pulse: 80, Resp rate: 16, O2: 98
None reported
None reported
None reported
None reported
N/A