Received Oct 24, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HEPA | HEP A (HAVRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | A3X2K | IM / RA |
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 1 | Y010466 | IM / RA |
| VARCEL | VARICELLA (VARIVAX) | MERCK & CO. INC. | 2 | Y015101 | SC / LA |
10/09/25 PT. IS 14 YEAR OLD MALE SCHEDULED FOR VARICELLA, INFLUENZA, MENINGITIS B, HEPATITIS A AND GARDASIL VACCINES. 02:45 PT. RECEIVED GARDASIL AND HEPATITIS A AND IMMEDIATELY SEEMED TO SLUMP IN THE CHAIR. HE BECAME VERY PALE, COLD TO THE TOUCH. PT. WAS RESPONSIVE TO MOTHER AND CHN. 02:47 WITHIN MINUTES WE WERE ABLE TO SUPPORT HIM TO PT. BED. BP AT 2:50 PM - 100/60. PT. HAD C/O HEADACHE, DIZZINESS AND NAUSEA. BP AT 2:57 PM- 104/64. PT. WAS ABLE TO SIT UP AND DRINK SOME WATER. 03:01 PM HEADACHE, DIZZINESS, NAUSEA RESOLVED WITH PT. FEELING TIRED. 03:15 PM BP- 104/68, MOTHER REQUESTED VARICELLA BE GIVEN, PT. AGREED AND VACCINE GIVEN WITH NO ISSUES. PT. REMAINED SEATED FOR 15 MINUTES, BP AT 03:30 - 108/70 AND NO FURTHER ISSUES. MOTHER AND PATIENT LEFT HEALTH CLINIC AT 03:45. DR, MEDICAL DIRECTOR, WAS NOTIFIED 10/09/25. 10/10/25 PT. IS FEELING WELL TODAY.
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