Received Jul 9, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| UNK | VACCINE NOT SPECIFIED (OTHER) | UNKNOWN MANUFACTURER | 5 | — | — |
| UNK | VACCINE NOT SPECIFIED (OTHER) | UNKNOWN MANUFACTURER | 6 | — | — |
| UNK | VACCINE NOT SPECIFIED (OTHER) | UNKNOWN MANUFACTURER | 3 | — | — |
Patient received 3 immunization on 12/07/2017. Before we left the office he said his face was tingling. I thought it was because he was crying. When we got home, which is about 5 minutes from the office, his face, ears, neck, chest and back were red. His lips and eyes were swollen and he started he was itchy all over. I rushed him to the emergency room for his anaphylaxtic reaction. The hospital is right next to the doctors office. By the time we got to the emergency room he was drooling and was having a hard time swallowing. Hospital rushed him back started an IV within minutes and administered IV Epi along with other medications. After a while his swelling went down and we took home steroid medication for continued treatment. We were told never to give him any of those vaccines administered that day.
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The vaccines he received
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