Received May 24, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAPIPV | DTAP + IPV (QUADRACEL) | SANOFI PASTEUR | 5 | U7838AA | IM / LA |
| MMRV | MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) | MERCK & CO. INC. | 2 | Y013573 | IM / RA |
Patient returned to clinic for symptoms of hives and cough within 30 minutes of receiving MMRV and DTaP/IPV vaccines. - Was at the store when reaction was noted. Mom unaware of him eating anything. Breathing comfortably, minor cough, SpO2 was 97%. Hives noted on face, torso and extremities. Patient was itching. BP was 88/58 which is slightly decreased from BP prior to vaccine 90/64. He was given 5 mL of Benadryl. Unable to locate EpiPen in clinic. Mom advised on need to present to the ER for further monitoring and treatment. - Declined calling ambulance to clinic and preferred going by car. - Advised on importance to present as soon as possible as he needs continuous monitoring for symptoms and possible treatment with EpiPen. - Mom felt comfortable going to ED. - ED was called afterwards and patient was present in the ED and receiving treatment.
Eczema.
Fish, peanuts, shellfish.