Received Apr 11, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAPIPV | DTAP + IPV (KINRIX) | GLAXOSMITHKLINE BIOLOGICALS | N/A | 4L454 | IM / LA |
| MMRV | MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) | MERCK & CO. INC. | N/A | Y019175 | SC / LA |
Pt returned to clinic after 48 hours with guarantor reporting swelling and redness around arm that started the next day after administration of vaccines. Pt came home from school the day after vaccines at 13:00 reporting swelling of arm with no pain present. Firmness in swelling felt around deltoid muscle . Pt returned to clinic after 48 hrs for f/u with visible swelling and redness noted in length 6 inchs x width 6 inchs . Upper arm swelling measurements taken around entire arm were 9 inches compared to non vaccinated arm of 7 inches around. Prescribed antibiotic and Benadryl by PCP. Mother instructed to continue to monitor and mark new changes if increased swelling or report any changes as needed and return to clinic asap with any new concerns. Educated on worsening S/S and to return to clinic or go to nearest ER if necessary.
Penicillin- rash