Received Oct 7, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUZONE) | SANOFI PASTEUR | UNK | U8848AA | IM / RA |
| IPV | POLIO VIRUS, INACT. (IPOL) | SANOFI PASTEUR | UNK | W1C741M | IM / LA |
| TD | TD ADSORBED (TENIVAC) | SANOFI PASTEUR | UNK | U8021BA | IM / LA |
While in seated position on exam room table, patient received the 3 vaccinations listed above. IPOL and Tenivac were administered first in the left deltoid, then Fluzone in the right deltoid. Immediately after receiving Fluzone, the patient started coughing. Patient was asked if she was choking, and patient shook her head up and down. The emergency alert system was activated at this time. Patient was asked to sit back on exam room table but was unable to do so. Patient was lowered to floor safely. 2 other staff members reported to exam room to assist. At 1500, epinephrine 0.3 mg administered to left anterolateral thigh and 911 called by medical support staff. At 1501 oxygen administered via bag mask 100% flow. Vital signs were taken at 1504: BP 115/69, P 92, O2 sat 85%. Patient continued coughing, audible wheezing. Clinic medical director was then called to response to scene. At 1505, patient became unresponsive, pulse dropped to 44, O2 sat dropped to 74%. At 1506, epinephrine 0.3 mg administered to left anterolateral thigh as patient was laying on her right side on the floor. At 1507 patient responsive and coughing. Patient encouraged to take deep breathes. Vitals signs taken: BP 96/52, P 82, O2 sat 84%. At 1508, EMS and medical director arrived on the scene. At 1510, patient was placed on stretcher by EMS and transported to (name withheld) Medical Center emergency department.
None reported
None reported
None reported
None reported