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Report #2833967

Received Apr 1, 2025

ER / ED visitOffice visit
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Overview

Sex
Female
Age
4 yrs
State
NY
Recovered
Recovered
Vaccinated
Jul 10, 2024
Onset
Jul 19, 2024
Days to onset
9
Hospital days
—

Vaccines (4)

TypeNameManufacturerDoseLotRoute / Site
DTAPHEPBIPDTAP + HEPB + IPV (PEDIARIX)GLAXOSMITHKLINE BIOLOGICALS290723IM / AR
HIBVHIB (ACTHIB)SANOFI PASTEURUNK90648IM / AR
MMRVMEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.190710IM / AR
PNC20PNEUMO (PREVNAR20)PFIZER\WYETHUNK90677SYR / AR

Symptoms (3)

Borrelia test negativeRashUrticaria

Symptom narrative

On July 19th my child broke out in a hive like rash of circular red dots on her upper right arm, armpit, right side and upper right back near her shoulder and on the backs of both of her legs. The rash was visible through July 21st. We consulted with the on call doctor on the 20th and they just said to keep an eye. The doctor checkon on her in office on 22nd and the rash was not visible. I asked about reporting incident they said it was normal side effect but later a Doctor wrote back that it could be in window of time for side effects. By the 24th, my daugher wasn't walking and peeing herself.

Current illness

N/A

Medical history

N/A

Other medications

N/A

Allergies

N/A

Lab data

Possible transient synovitis but couldn't confirm. Ruled out lyme.