Received Oct 29, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HEPAB | HEP A + HEP B (TWINRIX) | GLAXOSMITHKLINE BIOLOGICALS | 2 | AZ2A3 | IM / RA |
| VARZOS | ZOSTER (SHINGRIX) | GLAXOSMITHKLINE BIOLOGICALS | 2 | 3EG9B | IM / LA |
Patient was given her 2nd shingles immunization and 2nd hepatitis A/B immunization this afternoon. [Withheld name], certified immunizing technician/lead technician, gave Patient both vaccinations. The Twinrix was given in the patients right arm, and the Shingrix was given in the patients left arm. After Administration, the patient began to complain and dizziness and feeling faint and pain in her left arm. [Withheld] notified me as the only pharmacist on duty. We gave the patient as ice pack, which [withheld] first laid on the back of the patient's neck, which seemed to give instant reilef. However, the patient still complained of arm pain and faintness. I moved the icepack to the patients left arm to help with the pain. After 10 minutes the patient was not feeling any different and began to complain of a headache. I offered water and two regular strength tylenol (as I usually recommend for shingles immunization patients). The patient did take two regualr strength (500mg) capsules of acetaminophen and drank half a bottle of water. After 10 minutes, the patient said she felt better but physically did not look well. I took patients blood pressure, which was normal with a normal pulse. I offered to call an ambulance multiple times throughout the encounter, which the patient did not want to do. Her friend that was with her was concerned and asked me what he should do for her. I did recommend going to the ER since the patient had tried to stand to walk multiple times and had to be assisted to stand and sit. I then went to the front of the store and got a wheelchair for the patient. I assisted her in standing and walking the the wheelchair. Patient continued to say she felt better, but I was still concerned and recommended going to the ER.
NONE
HEARTBURN/GERD, BLOOD THINNER USE, POSSIBLE MEMORY LOSS, HIGH CHOLESTEROL, DIABETES
OMEPRAZOLE 40MG CAPSULES, ATORVASTATIN 10MG TABLETS, CITALOPRAM 20MG TABLETS, DONEPEZIL 10MG TABLETS, CLOPIDOGREL 75MG TABLETS, METFORMIN 1000MG TABLETS
NONE
133/86 BLOOD PRESSURE/69 PULSE- READING COMPLETED IN PHARMACY AT 6PM