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Administered by: Unknown Purchased by: Unknown
Life Threatening? No
Write-up: Gardasil vaccine number 3 given at approximately 11:10am. Patient informed vaccine administrator that this was her third shot and she never had problems in the past. During patient observation time she felt dizzy and had chills. Patient was placed in supine postition. BP taken 122/70. Patient Dr. (resident) and Dr. were notified and assessed patient. Motrin 600mg was given to patient po. Patient stayed in observation in supine position for another hour. She stated that she was feeling better and was released by Dr. At approximately 12:15 pm I received a call from patient in my office. She reported that she received her shot and felt dizzy so they watched her. She stated that she is in her car in the parking garage and that she feels more dizzy, has a headache and eye pain and she feels as if her throat is tightening up. She denied difficulty in breathing. I asked if she was able to walk and meet me in the clinic. She stated "yes". Upon her immediate return to the clinic I escorted her to an exam room, had her lie on the exam bed with her head raised at 45 degrees. Her pulse ox was 98% on room air, BP 145/85, HR 97, RR 16. Her lungs were CTA without wheezing. She had no SOB, but stated her throat felt tight. She had trembling of her extremities but reported that she was not cold. I called for Dr. who was working in an adjacent clinic to asses patient as the morning MD''s had left for their afternoon assignments. Patient remained awake, alert oriented X3. Dr. assessed her and ordered Benadryl 25mg po. That was administered. Second set of vital signs were O2 sat if 97% on room air, BP 132/85 RR 16, HR 98. Approximately 15 minutes past receiving Benadryl patient reported that she felt better. She stated that her head felt better, she didnt feel as if her throat was tightening up, and her tremors were decreasing. Patient was observed until 4:00 pm until a family memeber came to pick her up. Periodic assessments showed a RR 12 - 16 and steady. No difficulty in breathing or wheezing. Patient slept throughout the afternoon. Upon her departure from the clinic patient stated that she felt "much better". Her trembling subsided.
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