Received Apr 25, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAPIPV | DTAP + IPV (QUADRACEL) | SANOFI PASTEUR | 5 | U7908AB | IM / RA |
| MMRV | MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) | MERCK & CO. INC. | 2 | Y016874 | SC / RA |
4 y/o child was given routine vaccines on 4/22/2025 around 4:15pm. Mother called facility on 4/24/25 wanting to speak to a nurse. I talked with her. Mother states on 4/23/2025 around 8:30pm-child was taking a bath and removed the bandaid from the arm and had a big puffy ring under the bandaid. Mother states arm was swollen, red and had a hard knot under bandaid. She took him to the ER that night. She states they gave him Benadryl, a steriod, and antibiotics and said they was treating him for an allergic reaction to the vaccine and cellulitis. Mother states the area was 12cm x 11cm in size on his arm. She denies that the child was having any pain, states it was very itchy to him. I explained to her again about possible swelling, redness and knot with any vaccine. I questioned her about a possible reaction to the bandaid. It was left on the arm for over 24 hours. She denies him ever having a problem with bandaids in the past. When I spoke with mother on 4/24/2025 she was at Dr.'s office with child for a follow up. She states that the area had gotten worse since 4/23/25 night @ the ER with more swelling and the skin was even starting to crack open. I called mother today 4/25/2025 to follow up and to see how MD appt. was yesterday evening. Mother states symptoms have improved a lot since yesterday. She states the swelling has started to go down and it's not as red. She states nurse practitioner did feel like it was an allergic reaction to the vaccine but wasn't 100% sure. NP advised mother to continue giving child the medication prescribed in the ER and no new meds were prescribed. Mother asked about child getting Tdap in the future when child is 11 years of age. I advised her that she would want to discuss that with PCP at that time. She is states she wants him to get it if he can since it will be the last Tdap he has to get for school. Advised mother that would be up to his PCP. Mother thanked me for calling and checking on the child today.
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