Received Jul 17, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTPPVHBHPB | DTAP+IPV+HIB+HEPB (VAXELIS) | MSP VACCINE COMPANY | 3 | U8265AA | IM |
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 3 | LN4930 | — |
| RV5 | ROTAVIRUS (ROTATEQ) | MERCK & CO. INC. | 3 | Z007575 | PO / MO |
Infant was at home and woke up from nap crying and then became limp for 25 minutes with some cyanosis around the mouth, symptoms spontaneously resolved. Parents called 911 and patient was taken to the ER. He was found to be anemic at ER. He was discharged and followed up with his PCP. He has been referred to Cardiology. Dr. History Report: History of Present Illness The patient presents for evaluation of a brief resolved unexplained event (BRUE) and anemia. He is accompanied by his parents. Pale, limp event - About 2 hrs after receiving his vaccinations 2 days ago, he had a contact nap for approximately 1 hour and 20 minutes, which is typical for his afternoon rest. - Upon waking, he was screaming with his eyes closed. - His mother attempted to soothe him but noticed that he had turned pale and was limp. - His breathing was slow, and his lips had turned blue. - Mom tried to sit him up on her hip but couldn't, he was so limp. - She tried lying him down as if for a diaper change. He would normally grab his feet. Just limp. No eye contact but eyes at times open, lids at times droopy as if falling asleep. Not interacting but eyes not rolled back or deviated. - No stiffening movements. - This episode lasted about 25 minutes. - Called EMS. By the time the fire department arrived, his color had slightly improved, but his oxygen levels were low and he was crying faintly like a moan. - He was taken to the hospital where tests revealed severe anemia. Parents noted HR when crying was over 200. ED documented HR 153.
Parents reported congestion.
Iron deficiency anemia
unknown
No Known Allergies
7/8/25: UA, CBC with diff , CMP, C-reactive Protein, Slide Review Peripheral Smear, Influenza, COVID RSV ., Xray of the chest. 7/10/25: ECG lead, CBC with diff , Iron and Iron building Capacity, Retic Count, CMP