Received Apr 2, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAP | DTAP (DAPTACEL) | SANOFI PASTEUR | UNK | 3CA03C3 | IM / RL |
| HEPA | HEP A (HAVRIX) | GLAXOSMITHKLINE BIOLOGICALS | UNK | C24B9 | IM / LL |
| HIBV | HIB (ACTHIB) | SANOFI PASTEUR | UNK | UK170AB | IM / LL |
| VARCEL | VARICELLA (VARIVAX) | MERCK & CO. INC. | UNK | Y013073 | IM / RL |
Injection was given of diluent without the Hib vaccination mixed in, no adverse effects noted, patient rescheduled for Hib vaccination
None
None
Unknown
NKDA