1053 – Patient was given vaccinations and stated she was okay. 1056 – Patient fell off of the bed (3 ft) and hit right side of head on to concrete floor. Patient tensed up, as if she was going to seize, and EMS was called by APRN and school nurse was called to bring emergency bag by RN. Vital signs were started as patient arose to sitting position. She stated she did not know what happened that caused her to be on the floor but had a headache, weakness, and was sweating. Stated last thing she remembered was her vision going fuzzy, having a headache, and feeling weak following the Gardasil vaccination. She said this started after medication was put in to arm. Patient was alert and orientated x3, eyes equal and reactive with no tunneling, felt like she was weak with headache and sweating, paleness noted on assessment. 1059-1101- AP RN attempted to call guardian. 1103 – Guardian called back on patient’s sister’s cell phone. APRN spoke with guardian over situation. Guardian stated she would be on her way to the school now, estimated to arrive in 10 minutes. 1105 – Patient was moved on to bed with the standby assist x3. Wet towel was placed on head and legs were raised. Patient will remain NPO at this time. Stated she last ate at 0730, chicken biscuit and 2 apple juices. 1110 – EMS arrived, report given. 1112 – Orthostatic vital signs and blood glucose check was started by EMS. 1118 – Cardiac monitor was placed on patient by EMS. HR 96, normal sinus rhythm per EMS. 1132 – Guardian arrived and given explanation of what happened from staff, then spoke with EMS workers. 1143 – Patients guardian spoke with EMS and staff, chose to sign EMS paperwork to refuse transportation. Stated that she would take her to Urgent Care for head evaluation after leaving. She was still complaining of headache but weakness and vision had improved. Patient was walking but APRN walked her to car as standby assist. 1150 – Report was given to Urgent Care (RN). 1157 – Supervisor, RN, made aware of the situation. 1221 – Added report given to Urgent Care (RN). 1243 – Spoke with RN, about appropriate reporting.