Received Nov 18, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLULAVAL) | GLAXOSMITHKLINE BIOLOGICALS | 7+ | N4D3J | IM |
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 3 | Z008262 | IM |
HPV vaccination given in left deltoid Flu vaccination given in left deltoid This was his third HPV with no previous reaction. He has had multiple previous influenza with no reaction. Patient stated to MA that "feeling funny/dizzy" Kept patient in room to monitor and he stated felt hot, when standing felt more increase in temp. Stated harder to breathe and throat swelling. Dr. first entered examined patient. I followed in shortly after. GIVEN 0.3 mg of EPI at around 4:12 pm 141/85 at 4:27 pm Patient noted feeling better, had him lay down. Monitored vitals. EMS was called. Arrived around 4:35 pm and took over care. Patient headed to ER Medical Decision Making 28-year-old male presents with concerns of an anaphylactic allergic reaction to vaccines he received today. I am evaluate the patient about 1 hour post IM epinephrine and 50 mg of IM Benadryl after he developed sensation of throat swelling and wheezing after 2 vaccines he received today. He has no clinical evidence of allergic reaction at this time, has a wheezing, no stridor, no evidence of angioedema or airway edema. Will continue to monitor, additionally provide Decadron and famotidine and reassess. Patient was monitored for a period of time, I 1 point it did become nauseous and was given ODT Zofran for this, otherwise he is without any evidence of the anaphylaxis clinically, no recurrence of symptoms, comfortable with discharge home at this time. I did which was given a prescription for an EpiPen, states he will send did family member to go pick it up from the pharmacy right now, given in his instructions on its use and indications, all questions were answered. He was informed that he could potentially have a similar reaction to future influenza vaccines and should notify his primary care doctor.
N/A
Migraine Seizure (CMS-HCC) (HCC) ADHD (attention deficit hyperactivity disorder) Environmental Allergies
EPINEPHrine 0.3 MG/0.3ML auto-injector fluticasone (FLONASE) 50 MCG/ACT nasal spray loratadine-pseudoephedrine (CLARITIN-D 24-HOUR) 10-240 MG per 24 hr tablet melatonin 10 MG TABS tablet metFORMIN (GLUCOPHAGE) 500 mg tablet pantoprazole (PR
Melatonin, Tape, Loratadine-Pseudoephedrine ER