Age: 16.0
Sex: F
Vaccine: FLU3, HEPA, MNQ, TDAP, VARCEL
Symptoms: Abnormal behaviour, Chest X-ray, Euphoric mood, Fall, Gait disturbance
Clinical narrative: See as 8a additional as 8a continued through 020712. (See typed notes). On 020312 at approximately 0810 client came into clinic for immunizations with her mom. Mom had received immunization information sheets on the following vaccines yesterday: Tdap, hep A, varicella, flu and MCV4. Mom requested that her daughter also receive the flu vaccine today. When asked if client was sick, had any previous reaction to any vaccines, had any blood products or immune globulin, or allergic to anything or could she be pregnant or planning on it in the next three months she states that the daughter had not and was not. Pt was given immunizations as seen on copy of immunization record attached at about 0820. Also included on same record is written in the flu vaccine given with lot and manufacturer abbreviation. Immunizations were then entered into the computer INC program. No reaction was noted at this time. The both left the clinic. At about 0845 employee received a call from the high school per campus security police. He states that the student, was "talking out of her head". The phone was handed to someone else and the officer told her the same thing and asked what shots she had been given. That the student  told him she had shots today at the health unit. Employee turned the case over to me since I gave the shots. I called the mother who was in the hospital in the waiting room. She states that after they left the clinic the daughter "didn't look right" she was "talking slow". The mother drove to her sister's hair salon and went in with the daughter. The daughter stated she needed the keys to get something from the car. She began walking "funny" and said "I feel high" and the aunt had to hold the daughter to guide her to the car. They left the salon and the mother tried to tell the daughter to stay home from school the rest of the day. But the daughter said "I have a test today, I can't". The mom states she dropped patient out at school and 30 minutes later the school was called her to come back to get patient. The mother states that she got to the school and the daughter's friends were crying because they thought something bad was happening to the daughter. She said the girls said that patient fell out and they caught her before she could hit ground. The mother said that when she saw patient, she was "talkin' out her head and was talking slowly and didn't even know who her cousin that works in the office was". The ambulance was called and the mother followed behind in her car to hospital. At this time the mother had to get off of the phone because the doctor was supposed to come out and talk to her. The mother was to call the office back. The around 1 pm I called the mother back again because we had no further word on the client's case. T called the hospital and spoke to RN. He said that dr ordered an EKG and chest x-ray because she has a cold. When asked if the doctor thinks this is a reaction to the shots, he said no, she was fine when we saw her. About this time the mother came into the clinic because she works in home health. She said that patient is home and still acting "funny". She is with mother's brother-in-law. I stated that she should take patient to another hospital. Mother stated that she was going home and may take her to the doctor because she just switched to him. Mother states that patient took "some kinda dollar store cough medicine yesterday morning and evening" and "yesterday evening she also took some DAYQUILL". But she has had none of that day. She said that patient only ate some chicken noodle soup yesterday but ate a donut today after they left here.