Received Jul 23, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAP | DTAP (INFANRIX) | GLAXOSMITHKLINE BIOLOGICALS | 4 | 5KR3R | IM / RL |
| HEPA | HEP A (HAVRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | H3N97 | IM / RL |
| HIBV | HIB (ACTHIB) | SANOFI PASTEUR | 4 | UK229AA | IM / RA |
| MMR | MEASLES + MUMPS + RUBELLA (MMR II) | MERCK & CO. INC. | 1 | Y008289 | SC / RA |
| VARCEL | VARICELLA (VARIVAX) | MERCK & CO. INC. | 1 | Z003767 | SC / RL |
About 15 min after the family left and had vaccines administered, mother called the office stating that child was turning bright red, coughing and vomiting, and not acting himself. They were asked to return to the office immediately. Upon entering the office, doctor noticed the child was very flushed - no urticaria was noted and lungs were clear. Oral Benadryl was given in office, 3 ml Only x 1 and within less than 2 minutes , the child is drowsy, he looked tired and non toxic. At 11:06 AM child appeared sleepy, he did take benadryl 3 ml PO and 2 sips of water and was falling asleep. Blood pressure was checked 87/38 continuous O2 sat was put on right big toe and was 91-97 waxing an waning HR 127-144 had peripheral acrocyanosis, remained flushed to face and chest, had perioral cyanosis. EMS arrived within 10 minutes. O2 started non rebreather Sats increased charge given- discussed possible allergic reaction to vaccine (MMR) Vs seizure - possibly post ictal Epinephrine given for weight right thigh by EMS in discussion with this MD- for possible allergic reaction Patient remained without urticaria, or wheezing, but low blood pressure, flushed skin, and falling asleep- wakes up and then with Nystagmus (seemingly Post ictal in examination) non verbal now, whereas prior to vaccines was talkative. Discussed with mother Patient left with EMS and mother on stretcher with car seat at approx. 11:30 AM. Charge nurse at Hospital through transfer center contacted by this MD and charge given with full History of today's events.
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Unilateral Inguinal Hernia, Acquired clubfeet, Scoliosis, Short Achilles tendon, Hydro nephrosis, Congenital Hypotonia, Achondroplasia, Dwarfism
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NKDA