Received Aug 26, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAPIPV | DTAP + IPV (KINRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | Y49BZ | IM / LA |
Patient receive vaccines on 08/21/25. She received Kinrix vaccine on left deltoid area and Hepatitis A (Havrix) on right deltoid area. Parents contacted the clinic by phone and email on 08/23/25 stating that left deltoid area started to get red and swollen from the night of 08/21 and getting worse through out the day of the 08/22 and associated low grade fever (38 C), reason why she was not sent to school that day. Parents stated swelling and redness got worse and they gave her Ibuprofen and Benadryl. Also, patient developed urticarial rash on left leg and back. I contacted parents on 08/23/25 when everything was explained to me with some language barrier (Patient is from another country) Recommended to continue with Benadryl 5 ml every 8 hours, Ibuprofen as needed for pain or fever and apply cold compresses on site of injection. Recommended to take her to urgent care for further management if they notice worsening. Parents verbalized understanding. Visit was schedule for 08/25/25. On 08/25 urticarial rash was resolved and swelling and redness of left deltoid area was minimal.
Had an upper respiratory infection 08/24/2025 , most likely viral with associated left otitis media and pharyngitis. Left otitis media resolved by visit on 08/11/2025. As per parents, for 2-3 days before 08/21/25 appointment she was having loose stools with mucus, but having normal stools on day appointment
None
None at the time of vaccination
None