Received Nov 5, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLULAVAL) | GLAXOSMITHKLINE BIOLOGICALS | 5 | 4D255 | IM / RA |
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 1 | YO13818 | IM / RA |
This reporter was called in to room evaluate patient after witnessed seizure like activity post immunizations (Flu followed by HPV vaccine). At time of my evaluation, patient no long er seizing, sitting up in bed, sobbing, while mom was holding patient and nursing staff at bedside. She was back to baseline at this time. Per nursing staff report who witnessed seizure like activity CMA: Per Dr administered influenza and hpv vaccine to the patient's right deltoid. Mom was holding the patient, she was bracing her arms around patient's both arms. Patient tolerated flu vaccine good, but when getting hpv vaccine the patient complained of severe pain as the vaccine was being injected. Upon needle withdrawal, a brief stream of blood was noted running down the patient's arm. Bleeding was controlled without complications. Right as the patient saw the blood, she got very rigid, especially both legs. Became unresponsive to the surroundings, skin got pale. Body was jerking/shaking. I wasn't able to see her eyes/face at that moment due to her head slouching forward. Patient's mom said "She is seizing, finally someone else is able to witness her having a seizure". The episode lasted about 10-20 seconds, I've got control over the lower part of the body (also retracted foot rest for her), while mom was holding her upper body, to make sure the patient wouldn't fall of the examine table. As soon as me and mom made sure she was positioned safely, I went out of the room to call for nurses/provider. When patient was coming out of the episode, she was taking deep breaths and started crying. Mom confirmed, from her observations, that how she presents when she is finished seizing. Patient was adjusted to lay down on the examine bed that was moved close to the wall and a provider and mom on her other side. Dr examined the patient and ordered to have her vitals checked every 10 minutes for the next 30 minutes. Her vitals was progressively improving, patient was looking and reported to be feeling much better. At the end of the 30 minutes, after last set of vitals and examine by a nurse, patient was stable to leave, accompanied by mom and her brother.
No known illness at time of or recently prior to vaccination
ADHD
Vyvanse 20mg daily, ibuprofen PRN acetaminophen PRN, pediatric multivitamin chewable.
No known allergies
CBC and CMP ordered to be completed for patient.