Received Jul 29, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTPPVHBHPB | DTAP+IPV+HIB+HEPB (VAXELIS) | MSP VACCINE COMPANY | 3 | U7535AA | IM / LL |
| MMR | MEASLES + MUMPS + RUBELLA (MMR II) | MERCK & CO. INC. | 1 | X018904 | IM / LL |
| VARCEL | VARICELLA (VARIVAX) | MERCK & CO. INC. | 1 | Y014181 | IM / LL |
Parents report that after the last vaccines in 4/17/25, patient was not feeling well for a couple weeks post vaccination. She had a sore leg for 3 days (due to vaccination struggles and safety concerns, all 3 doses were given in 1 leg). Mom notes patient avoided putting weight on her legs for about 3 days. Her sleep was disturbed, waking up intermittently (every 2 hrs) outside of her normal, grumpy (modified temperament) for a 2-3 weeks, and not interacting with her normal play activities. She also developed a low grade fever that resolved with Tylenol. I discussed with the parents that her response was likely due to the pain of all 3 vaccines given in the single leg. After further discussion, we have agreed on a modified schedule moving forward.
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