Received Feb 3, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAPIPV | DTAP + IPV (QUADRACEL) | SANOFI PASTEUR | 5 | U8209CB | IM / LA |
| MMRV | MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) | MERCK & CO. INC. | 2 | Y014307 | IM / LA |
Patient returned to clinic at 3 pm following DTaP/Polio and MMR/Varicella vaccinations reaction. Left arm site where DTaP/Polio was given was severely red and had hives present. Chest, behind ears and hands had some minor hives. benadryl (12.5/5) 7 ml given in office. Patient observed for 2 hours with minor improvement in rash. No difficulty breathing, O2 95%, no vomiting, no diarrhea. Patient's mother confirms epipen (up to date) in care. Informed of anaphlyaxis sx, if appears to give epipen and call 911. Mother understood and left office with child.
Recent viral URI with fever several days prior.
Chronic constipation. Pre-pubertal vaginitis. Recurrent canker sores. Recurrent Urticaria of unknown etiology.
Chewable fiber supplement.
Milk allergy. Amoxicillin allergy.