Received Aug 15, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTPPVHBHPB | DTAP+IPV+HIB+HEPB (VAXELIS) | MSP VACCINE COMPANY | 2 | U7801AA | IM / RL |
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 2 | LG5574 | IM / LL |
| RV5 | ROTAVIRUS (ROTATEQ) | MERCK & CO. INC. | 2 | 2032349 | PO / MO |
That evening of the injection the mother reached out and said that the child was fussy, sleeping all day, started running a fever, and wouldn't hold down Tylenol. She had 2 wet and 1 soiled diaper. I explained to the mother that those reactions are a possibility of the injections. Encouraged tepid baths and BF to stay hydrated. I encouraged to monitor a bit longer. The following day 8/14/25 the mother reached out and said that her leg on the right side was discolored compared to the left side. Her foot was cooler to the touch than the left. She had only drank 6 oz of breastmilk and had 2 wets all day. Fever was down to 99.4. Due to the temp and discoloration of the leg we informed the mother to call their provider as soon as possible. Once the appointment was made, I called the clinic and provided all immunization information and what the mon had reported to me regarding the immunization reactions. Later that day, I followed up with the mother and she said that the dr did not know why her leg was discolored. Mom also reported that once she got patient to the dr's office, her leg was back to normal color and temp. They attempted to give patient tylenol in the clinic and she was unable to keep it down, they eventually gave her an injection and mom said she was doing better. She was unable to tell me what they gave patient, only that it was something similar to Tylenol, but stronger.