Received Oct 27, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| MENB | MENINGOCOCCAL B (BEXSERO) | NOVARTIS VACCINES AND DIAGNOSTICS | 2 | 3L339 | IM / RA |
RN 10/24/25 1332 Addendum Pt arrives ambulatory to triage, received meningococcal B vaccine this AM, since then has been having dizziness, nausea, vomiting, SOB on exertion, tachycardia, and achy joints. Pale color in triage. No meds PTA. AO x 4 GCS 15 21 y.o. female presents to the ED with palpitations, dizziness, nausea, vomiting, knee joint soreness after getting a meningococcal vaccine at 0915 today. Received first dose without issue. Notes her lips turned blue and she became out of breath after walking a short distance. Denies rash, swelling of lips, tongue or throat. Did take Vyvanse this am. The history is provided by the patient and a relative (mother).
none known
ADHD, Anxiety, Dyslexia, Depression, Chronic gastritis, PMDD, Autism, Acne, Scoliosis, iron deficiency, seasonal allergies, hx concussion
Calcipotriene topical daily, clindamycin-benzoyl peroxide topical BID, Tretinoin 0.025% topical nightly, spironolactone 25 mg p.o. daily, Hyoscamine sulfate 0.125 mg q 6 hr PRN, Norethindrone-ethinyl estradiol 1/20 mg daily, lisdexamfetamin
Poblano pepper, cat dander, grass pollen, seasonal allergies
CMP and CBC normal, pt monitored and improved rapidly. Given Toradol 30 mg by injection. Discharged home at 16:49.