Received Aug 4, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAPHEPBIP | DTAP + HEPB + IPV (PEDIARIX) | GLAXOSMITHKLINE BIOLOGICALS | 2 | — | SYR / LL |
At the time of injection it was red, hot to touch , size of a quarter on 12/14/2022 11am, childrens cranky, tired the evening of 12/14/2022., left thigh began splotches of redness on upper left thigh/ center where shot injected hard like a rock 12/15/2022 7am, splotching turns to solid red circle around injection sight 12/15/2022 10am, the red infected area is growing to completely cover thigh area , hot to touch , painful to touch- child will not allow me to touch it 12/15-12/16 2022
11/1/2022 2:00 PM PEDIATRIC PULMONOLOGY FOLLOW UP VISIT PCP: DR. CC: chronic cough HPI: Patient is a(n) 15 month old male with h/o chronic cough, reactive airways disease, mold exposure, and resolved concern for immunodeficiency. The last office visit to Pulmonology was on 10/26/22 with Nurse. He has been using Flovent 44mcg 3 puffs two times daily, Albuterol, and taking all medications. Mother states his cough has improved, but has never completely resolved. He has an aerodigestive procedure scheduled next week. Mother denies fevers, stridor, croupy cough, post-tussive emessis, sputum production, or hemoptysis. 12/6/2022 9:30 AM PEDIATRIC PULMONOLOGY TELEHALTH VISIT Time of Visit: 30 minutes PCP: DR. CC: chronic cough HPI: Patient is a(n) 17 month old male with h/o chronic cough, reactive airways disease, mold exposure, reflux, and resolved concern for immunodeficiency. The last office visit to Pulmonology was on 11/1/22. Since that time he had a bronchoscopy and aerodigestive evaluation. His bronchoscopy was structurally normal and cultures have been normal, to date. His fungal culture is still pending. Patient continues to have a chronic dry cough. He is on reflux medications. However, he was unable to have PH probe after the bronchoscopy due to the pending Hurricane.
4/25/2022 11:00 AM HISTORY: Patient is a 9 month old male brought in by mother for the nine month well baby visit. Parental concerns today: Family is concerned about CF and milk allergy Need results of ISP in chart He is doing better with his cough-less often but it sounds like he gasps first or is catching his breath I reviewd most recent labs and Gi study with mom. Immunology workup is reassuring so far. She was instructed to wait on vaccines until workup is completed She is very reluctant to proceed with bronchoscopy, but this really seems to be the next step.
albuterol (2.5 mg/3 mL) 0.083 % nebulization, albuterol HFA (PROAIR HFA) 108 (90 BASE) mcg/act inhaler 2 puffs every four hours as needed, fluticasone propionate (FLOVENT HFA) 110 mcg/act inhaler 1-2 puff twice per day, FAMOTIDINE 40 mg/5 m
Unknown
She examined lymph nodes throughout the body, and they were very swollen in the neck, the legs. She continued to check lymph nodes through an entire year and they remained swollen. cephalexin was prescribed for his thigh . Also, we realized there was a delay/ regression with his speech. We have it documented how extremely delayed in speech he was and the progression of his speech improved with protocols of detoxification and speech therapy. He is currently still on a detox regime and speech therapy 08/04/2025