Received May 9, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAPIPVHIB | DTAP + IPV + HIB (PENTACEL) | SANOFI PASTEUR | UNK | UK199AA | IM / LL |
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | UNK | LK6653 | IM / RA |
| RV1 | ROTAVIRUS (ROTARIX) | GLAXOSMITHKLINE BIOLOGICALS | UNK | 32PF3 | — |
Patient given Pentacel vaccine. Which consist of DTap, IPV & Hib. Patient did not receive Hib portion of vaccine. Manufacturer of vaccine Sanofi Pasteur consulted, instructed to give Hib portion of vaccine with 0.4% Chloride, no time frame recommended. Patient has no known signs, symptoms, or adverse reactions over the course of incident. Patients' legal guardian will be notified of diversion and instructed to bring patient into clinic to receive HIB portion of vaccine Staff retrained on how to properly administer vaccine to prevent future mistakes.
Bronchiolitis Cough, unspecified type Runny nose
Capillary nevus of skin D18.01 Nevus flammeus Q82.5 Newborn delivered by vacuum extraction P03.3
cetaminophen (TYLENOL) 160 mg/5 mL Take 2.8 mL by mouth every 6 (six) hours as needed for fever or pain albuterol HFA 90 mcg/actuation inhaler Inhale 2 Puffs into the lungs every 4 (four) hours as needed for shortness of breath or wheezin
No known allergies
N/A