Received May 6, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTPPVHBHPB | DTAP+IPV+HIB+HEPB (VAXELIS) | MSP VACCINE COMPANY | 1 | U83131AA | IM / RL |
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 1 | LN2948 | IM / RL |
10 month old patient was checked in at 11:17 AM for WCC. Patient was roomed at 11:54 AM. Initial set of vitals: height 67.31cm, 5.812 kg, head circumference 38.61 cm, 98.9 temp, HR 140, RR32. Dr. assessed the patient and reported the patient as hypotonic, with some head control, alert, could look directly at provider but could not track. Patient could move arms and was interactive. Patient was lying supine but not able to roll at all. Mother reported to provider that patient cannot crawl, cannot sit up. Patient was behind on immunizations, only having a history Hep B at birth. Provider ordered Vaxelis and Prevnar. Administered vaccines. Provider reports patient appeared to be sleeping before to be sleeping before she gave the gave the IM injections. When provider gave shots, patient did not fuss in pain, but slightly opened her eyes. Provider did not notice any immediate adverse reaction and left the patient's room. Mother asked to have Dr. come back in the room because the baby's baseline changed. Dr. entered the room and noticed a change in alertness. She directed staff to call 911. Call was made at 1:38PM. Squad arrived at 1:46PM patient's O2 sat was 93%, HR 137, patient looked lethargic and was limp. Patient was given high dose oxygen with peds mask. EMS took patient at 1:58PM to hospital.
Rhinovirus, Seizure, Altered mental status
Failure to thrive and abnormal findings on newborn screening Developmental delay in child Delayed immunizations High risk social situation Lack of expected normal physiological development - below 1 percentile on growth chart
None
No known allergies
NA
Mother reports yes to this question. She mentioned that patient had a reaction to Hep B vaccine given at birth. Provider assesse