Received Jul 31, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAP | DTAP (DAPTACEL) | SANOFI PASTEUR | 6 | 3CA55C1 | IM / RA |
| IPV | POLIO VIRUS, INACT. (IPOL) | SANOFI PASTEUR | 5 | Y1A201M | IM / LA |
| MMR | MEASLES + MUMPS + RUBELLA (MMR II) | MERCK & CO. INC. | 3 | Y008592 | SC / LA |
| VARCEL | VARICELLA (VARIVAX) | MERCK & CO. INC. | 3 | Z004245 | SC / RA |
On 7/16/25. The patient presented for a routine 4-year-old well-child examination accompanied by his father seen by me. Per the father s report, the child is currently healthy, and there are no parental concerns at this time. Following the physical examination, I informed the father that the patient is due for the recommended 4-year-old immunizations, which include: DTaP (Diphtheria, Tetanus, and Pertussis), Varicella, MMR (Measles, Mumps, and Rubella), and IPV (Inactivated Poliovirus Vaccine). The father did not bring the patient's immunization records to the visit. I clarified with the father regarding the child s vaccination history, and the father stated that the patient has not received any vaccines since turning four years old. A thorough review of the patient's electronic health record (EHR) confirmed that no DTaP, Varicella, MMR, or IPV vaccines had been administered after the patient s fourth birthday. I provided education regarding the benefits and potential side effects of these vaccines using the appropriate Vaccine Information Statements (VIS). I told the father to take photographs of each VIS for his records in the room before gave vaccines. I also instructed the medical assistant (MA) to verify the vaccination status through the Immunization Registry, which similarly showed no record of the aforementioned vaccines being administered post age four. Based on this information, the I placed orders for the age-appropriate vaccines. The father consented to immunization and assisted the MA in holding the patient during vaccine administration. The patient received DTaP, Varicella, MMR, and IPV vaccines. No immediate side effects or adverse reactions were observed following immunization. On 07/30/2025, the patient's father came to the office and reported that the patient received DTaP, Varicella, MMR, and IPV vaccines on 05/06/2025 from another healthcare provider. He stated that he forgot to inform us during the previous visit on 07/16/2025. No side effects or adverse reactions have been observed to date.
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