Received Mar 26, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HIBV | HIB (ACTHIB) | SANOFI PASTEUR | 4 | UJ669AA | IM / RL |
| PNC13 | PNEUMO (PREVNAR13) | PFIZER\WYETH | 4 | FL4125 | IM / LL |
7 am patient woke up as normal ate breakfast, by 7:22 she was crying, her nose turned red, she was pale and warm, threw up mucous, no fever, but not acting right. I changed her diaper, she was lethargic on the changing table. 7:39 i put her on the living room floor and she was mostly unrepsonsive and still breathing. I called 911. I rolled her to her side, she threw up. Firefighters arrived 7 mins, didnt crawl away or make a peep when they got her vitals. EMS arrived 5 mins later, still lethargic, not pulling away. Finally she started to open her eyes. Put her in the EMS van sitting in her carseat, but eyes closed and very fatigued. When they pricked her heel for blood she finally withdrew her limb. Glucose 115 Got to the ED by 8:33. Workup included an abdominal US which was negative for intussusception. She did tolerating crackers and breastfeed without issue. CBC and BMP negative. Neuro consult, not a seizure. She was back to herself and we were discharged. We had follow ups with cardiology. Her echo and EKG were both normal. We were told there is nothing wrong with her heart and that possible it was a crying spell or a breath holding spell, but she never turned blue. We also followed up with neurology who agreed that it was NOT a seizure.
diagnosed with bilateral ear infection at the same visit
eczema
none
none
11/8/22 - bowel US negative for intussusception; CBC and CMP normal.