Report #2831765

Received Mar 17, 2025

ER / ED visit

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Overview

Sex: Female
Age: 5 yrs
State: OH
Recovered: Recovered
Vaccinated: Mar 17, 2025
Onset: Mar 17, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPIPV	DTAP + IPV (QUADRACEL)	SANOFI PASTEUR	1	4L454 (DO SOLON	IM / LA

Symptoms (3)

ChillsCyanosisLivedo reticularis

Symptom narrative

Mottled skin on neck and face on injected side, blue lips, rigors lasting approximately 30 minutes

Current illness

Gi bug

Medical history

None

Other medications

None

Allergies

None

Lab data

None