Received Jan 19, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| RSV | RSV (ABRYSVO) | PFIZER\WYETH | N/A | mm9149 | IM / RA |
PT ~34 WEEKS GESTATION RECEIVED ABRYSVO (RSV VACCINE BRAND) ~1715. ASKED PT TO WAIT 15 MIN IN PHARM LOBBY TO MONITOR FOR RXN. PT WENT TO BATHROOM W/ S/O. RETURNED AT 1729 ASKING IF IT WAS NORMAL TO HAVE LIGHTHEADEDNESS, BLURRED VISION, OR, B/L LEG NUMBNESS. INFORMED NO. ASKED IF PT HAS THROAT SWELLING, SOB, RASH/HIVES, ANXIETY TO INJECTIONS. DENIED ALL. (LATER LEARNED FROM ANOTHER STAFF MEMBER THAT PT ENDORSED A SCRATCHY THROAT NEAR THE BEGINNING.) CHECKED DOCUMENTED ADRS AND CPA PROTOCOL FOR GIVING VACCINES IN THE PHARMACY--DID NOT ADDRESS SX. TOLD PT THAT WE DIDN'T REALLY HAVE ANYTHING TO MANAGE THOSE SX IN THE PHARMACY, IF SHE WAS CONCERNED TO GO TO THE ER. SHE WAITED A FEW MINUTES IN THE LOBBY. DR. (ER PHYSICIAN) CAME IN TO P/U FAMILY MEDS. ASKED HIS ADVICE ON THE PT. ASKED IF WE SHOULD CALLED A RAPID. NO ADVICE. CALLED RAPID. HE EVALUATED PT. DID NOT SEEM CONCERNED. ADVISED TO GIVER HER 25 MG OF BENADRYL PO. DID AS INSTRUCTED. ASKED IF RAPID SHOULD BE CANCELED. SAID THAT PT WAS NOT IN ANY DISTRESS AND DIDN'T NEED A STRETCHER. NOT FURTHER GUIDANCE ON THE MATTER. CANCELLED RAPID BEFORE PERSONNEL ARRIVED. PT REMAINED IN LOBBY AFTER TAKING BENADRYL TO BE MONITORED. AT 1749, SHE C/O ITCHING ALL OVER. STRONGLY ENCOURAGED PT TO GO TO TO ER. PT'S S/O WENT TO GET VEHICLE TO TAKE PT. IN THE MEANTIME, PT AGREED TO A RAPID. CALLED ANOTHER RAPID. STAFF WHO HAPPENED TO BE IN THE BUILDING CAME IN TO HELP AFTER A WHILE OF NO ONE ELSE RESPONDING AND WHEELED PT TO ER JUST BEFORE 1800.
anxiety; HA; h/o GERD; h/o nausea
h/o GERD; h/o nausea; HA; anxiety
PNV; docusate 100 mg po qd; escitalopram 10mg po qd
nka