Received Mar 5, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAPIPVHIB | DTAP + IPV + HIB (PENTACEL) | SANOFI PASTEUR | 2 | UK109AA | IM / LL |
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 2 | LG5574 | IM / RL |
| RV1 | ROTAVIRUS (ROTARIX) | GLAXOSMITHKLINE BIOLOGICALS | 2 | 7E9Y2 | PO / MO |
Parents called after-hours triage nurse and reported vaccines given around 1430, parents woke patient up from nap at approx 2130 and found him pale, clammy and rectal temp of 95.8 F, and some fussiness. Advised to go to ED, ED triage RN note at 3/3/25 2249 states arrived "pink and at baseline". ED physician note at 3/4/25 at 0025 states "Patient had vaccines at around 2 PM. Patient was acting normally throughout the rest the day feeding and making wet diapers appropriately. And slept until around 930 when parents had woken him up. His parents state that he was cyanotic around the lips face and bottoms of his feet. At that time he was also "limp ". Father describes him and pale and clammy. They tried to get him to feed and he fed for approximately 10 minutes but not as vigorous as normal. They had taken a rectal temperature which was 95 at the time. They had called their sister who is a pediatrician and spoke to their on-call pediatrician who advised him to come to the emergency department. By the time they got packed up to come here patient had looked back to normal with cyanosis resolved. Parents state that now patient is back to baseline but appears slightly sleepier than normal.." On 3/5/25 mom reported to PCP office RN that since discharge from ED at approx 0300 3/4/25 patient is "doing really good", he is very tired, a litte fussy, eating well between naps, "seems to be getting back to his normal self.', with temp 98.9F on 3/4/25.
none known
Seen by ENT for mild laryngomalacia 12/9/24 (rare mild inspiratory stridor) gaining weight well
Breastfeeding, Vit D supplementation OTC
NKA
POC Glucose 3/4/25 at 0106 was 98