Received Aug 18, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAPIPV | DTAP + IPV (KINRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 5c79n | IM / RA |
| MMRV | MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) | MERCK & CO. INC. | 1 | 2008866 | SC / RA |
Patient received immunizations in upper right arm the morning on 8/16. In the afternoon of 8/16 mom noticed swelling and redness- She gave him one dose of Tylenol. The redness and swelling continued to get worse over the next 24 hours. He was seen in clinic two days after immunizations with no pain but visible swelling and mild erythema of upper right arm. In clinic we place Ice on his arm which he reported made it feel better. He was given a prescription for an antihistamine and ibuprofen for local swelling and discomfort. Mom was instructed to continue applying ice for no more than 20 min at a time several times a day. Follow up appointment made for 8/20/25.
Obesity- no current concern Visual disturbances- no current concerns
Obesity and Visual disturbances-neither causing current concerns- will recheck at next visit
Multivitamin/Floride 0.5mg/ml 1 ml po daily
none