Received Aug 7, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HEPA | HEP A (VAQTA) | MERCK & CO. INC. | 1 | Y013120 | IM / RL |
| MMR | MEASLES + MUMPS + RUBELLA (MMR II) | MERCK & CO. INC. | 1 | Z003401 | IM / LL |
| VARCEL | VARICELLA (VARIVAX) | MERCK & CO. INC. | 1 | Z003883 | IM / LL |
Fussy on 8/1 and 8/2. On 8/3, had a hard time standing and pulling himself up. 8/4 - not able to roll or get up from a lying position and was weak to the point where head would drop back slightly when lifted. He was taken to Medical Center on 8/4/2025 due to this. Rapid flu, COVID, RSV were negative. POC glucose was 70. Diagnosed with viral syndrome. After ER visit, e started getting fever in the last 2 days (Tm of 101 at Tuesday night). Given tylenol. Last fever 100.1 this am. Not wanting to drink as much or eat. Started with a rash today on his arms. Slightly decreased wet diapers but still breast feeding. He has not stooled for the last few days. No cough, congestion. Strength is better but not yet at his baseline. Had nasal congestion prior to this, but no other prior illness or diarrheal illness.
Possible nasal congestion; occipital lymph nodes noted <0.5cm, non tender, mobile
lymph nodes as above, but no other illness
None
No
ER did POC glucose (70), rapid COVID/RSV/Flu negative. 8/7 office visit: urine dip (bagged) showed small blood, trace ketones, trace leukocytes. sent for UA and urine culture. Repeat rapid flu negative