Received Mar 4, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAPIPV | DTAP + IPV (KINRIX) | GLAXOSMITHKLINE BIOLOGICALS | 5 | Y49B2 | IM / RA |
| MMRV | MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) | MERCK & CO. INC. | 2 | Y010306 | SC / RA |
Per ER records and Parents: Pt had kinrix and proquad 02/28/2025. About 1 hour after the injections the patients arm began to swell and get red. 03/01/2025 the pt was complaining that his arm was hurting very bad. The swelling had increased and so had the redness. *triage assessment stated pt complains of pain appears in no apparent distress, swelling and redness noted.* Vitals Pulse: 94, Resp: 24, Temp: 98.3, O2: 99% on RA. Was given IV Ancef, IV Decadron, and IV Benadryl. Swelling had decreased by time of discharge and pt was sent home with prescriptions for Benadryl, Prednisolone sodium Phosphate 5mg/5ml (to take 10 ml PO QD for 5 days), Cefdinir 250mg/5ml (to take 3.5 ml PO BID for 10 days), and Diclofenac Sodium 1% topical gel (to apply 4 grams QID to single elbow, wrist or hand).
In ER he had X-ray that was normal, had Basic Labs drawn with CPK. Dr. stated "normal CPK and lactate, White count is normal, slightly elevated sed rate, normal x-ray of upper arm, normal neurovascular exam of the right upper extremity.