Received Jun 4, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAP | DTAP (INFANRIX) | GLAXOSMITHKLINE BIOLOGICALS | UNK | Y97N7 | IM / RL |
| FLU3 | INFLUENZA (SEASONAL) (FLULAVAL) | GLAXOSMITHKLINE BIOLOGICALS | UNK | 2H2A9 | IM / LL |
| HEPA | HEP A (HAVRIX) | GLAXOSMITHKLINE BIOLOGICALS | UNK | J4K4X | IM / RL |
| HIBV | HIB (ACTHIB) | SANOFI PASTEUR | UNK | Y013470 | IM / RL |
| PNC15 | PNEUMO (VAXNEUVANCE) | MERCK & CO. INC. | UNK | Y010035 | IM / LL |
Patient was administered a Hep A when patient was not due for it. First dose was administered on 2/17/25, second dose was due 6 months after the first dose ( 8/17/25) but was wrongly administered today 6/04/25 by another MA.
Oral thrush, slow transit constipation
NA
None
NKDA
NA