Received Jun 3, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAPIPV | DTAP + IPV (KINRIX) | GLAXOSMITHKLINE BIOLOGICALS | 5 | Y49B2 | IM / LA |
| MMR | MEASLES + MUMPS + RUBELLA (MMR II) | MERCK & CO. INC. | 2 | R027447 | SC / RA |
| VARCEL | VARICELLA (VARIVAX) | MERCK & CO. INC. | 2 | Y014868 | SC / RA |
Patient was receiving his 4-year vaccines that included Kinrix (Dtap+IPV). I administered that vaccine in his left deltoid, then moved on and gave another 2 vaccines in his right deltoid area, 11:50am. He was crying and hugging his mom. I left the room, came over to my desk, set my vaccines down, and went and picked him some stickers out. When I returned, patient was a rash coming from under his left Band-Aid and long his left side, 11:52am. I went out and got my provider. I informed her I believed he was having a reaction to the Kinrix vaccine. She immediately came in and did an evaluation, and gave me a verbal order for diphenhydramine 5ml and 6ml of Prednisolone. I administered those medications and gave patient some water and a toy to play with while we waited 30 minutes for observation. I checked on him a few times over the 30 minutes and noted the redness was clearing up. At the 25-minute mark, I went in and rechecked his BP and Heart rate. Gave provider the notice to clear patient so he may leave.
r otitis media, dysfunction of both eustachian tubes
asthma, bilateral ear infections
none
Penicillin, amoxicillin, Azithromycin
none