Received Mar 26, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAP | DTAP (INFANRIX) | GLAXOSMITHKLINE BIOLOGICALS | 4 | Y97N7 | IM / RL |
| HIBV | HIB (ACTHIB) | SANOFI PASTEUR | 4 | UK201AC | IM / LL |
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 4 | L65574 | IM / LL |
is a 15 m.o. female who presents to the office with her parents. A couple of hours ago parents noticed a lump on LL abdomen and walking and fine and some times standing with left knee bent. Had her 15 month WCC yesterday and had vaccines in both legs and 2 vaccines in the left thigh and one in the right thigh. Had Dtap Hib and Prevnar. The lump is on the left side in the diaper area Parent concern since pt on January 19, 2025 admitted for Bilateral inguinal node abscesses and admitted for 3 days. I and D IV clindamycin MSSA. On 01/20/25. D/C to home for 14 day course of Keflex. On 01/28/25 need I and D on the right side. Consulted with Dr and then called ER as call to expect the pt. Parents drove directly to pediatric ER.
none
lymphadenopathy in Dec also after 1 year vaccines
none
none
As of 3/26/25 @ 9:55 am is still inpatient. 3/26/25 @ 8:34 am- Inpatient progress note: Assessment/Plan 15 month old girl who presented for recurrent left groin swelling and has a recent history of bilateral groin abscesses for which she had undergone bilateral I&D on 1/20 and repeat I&D of the right groin on 1/28, with cultures growing MSSA (resistant to penicillin) and responsive to clindamycin. She presented to ED with left inguinal swelling and was found to have a leukocytosis of 30.2 with left shift. CT obtained and demonstrated large psoas abscess. She is now s/p placement of 2 IR drains 3/21. Patient transferred to medicine team 3/21, ID consulted and following, she is on IV ancef, changed per ID 3/24. Cultures have now finalized with no growth. Recommend ultrasound to determine if the drains can be removed prior to discharge. Recommendations: -U/S to assess drainage of prior collections -Cont drains for now -Flush drains with 10cc each of saline every shift -Antibiotics per ID -Care per primary team/ID Discussed with Dr.
same exact reaction after 1 year vaccines