Received Jun 7, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAPIPV | DTAP + IPV (QUADRACEL) | SANOFI PASTEUR | 1 | U8209CB | IM / LL |
Quadracel (Dtap-IPV combination) was given in Left upper Thigh to patient on 6/5/25. This is the patients 5th dose of Dtap and 4th dose of IPV. Patient went home with no complaints of swelling, redness a=immediately after vaccine was given. Mom noticed Redness and swelling spreading toward the inner thigh on 6/6/25 around 10 AM and drew a mark around the area to keep track of the swelling and redness. Mom reports that when patient woke up this morning 6/7/25 at 7:30 AM there was a much larger amount of swelling than the morning before on 6/6 which prompted her to call the officeand request an appointment. Mom came into the office at 10:30 to be seen with physicians assistant who saw the patient and asked for a consult with another in house provider. Both physicians decided that it did not look like typical cellulitis as the redness was not spreading bilaterally from the vaccine administration sight and was instead spreading toward her inner thigh from the vaccine administration sight. Patient was given a 10ml dose of cetirizine in clinic to see if that would help the redness and swelling to go down. Patient was monitored for an hour after dose was given and there was no change in the reaction sight. Providers decided to prescribe patient cephalexin 2 times daily for 7 days to be on the safe side in the case that it is cellulitis.
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Leukocytosis (11/28/21), Pyelonephritis (11/28/21 @ 8 months of age)
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