Received Aug 8, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAPIPV | DTAP + IPV (QUADRACEL) | SANOFI PASTEUR | 5 | U7908AA | IM / RL |
| MMRV | MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) | MERCK & CO. INC. | 2 | Y017513 | SC / RL |
Patient is a 4-year-old female who received DTaP/IPV and MMRV vaccines on 8/07/25. Within 24 hours, mother reported increased swelling in the leg extending down toward the knee. No redness noted near the DTaP/IPV injection site. The MMRV injection site is erythematous but redness has not spread. Motrin given at 11:00 am with no additional medications. Patient has been icing the area with minimal relief. She is visibly limping and avoiding climbing activities but remains alert and interactive. Mother denies fever, body aches, chills, fatigue, lethargy, rash, hives, or decreased appetite. Patient is able to bend the knee without difficulty. Swelling and erythema remain localized, and supportive measures continue.
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