MIRF REPORT
Request:
Medical
Campus:
Rancho Bernardo
Location/Building:
[68]
Date of Incident:
July 20, 2025
Time of Incident:
10:15 AM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Annalise Fung (16yrs)
Mom-Tracy Fung 858-722-9368
Describe Medical Event:
Nausea, dizziness. Mother reports patient started antibiotics day prior for skin infection to left arm, had taken this am with only banana. Mother provided plain bagel and soda/Sprite.
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Medical only
Was medical attention accepted?”:
Yes
Medical attention was refused by (name and relationship to… :
Was 911 emergency service called?:
No
Was patient transported via 911 emergency services?:
No
What hospital was victim transported to?:
NCS team lead:
[249]
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