Received Sep 5, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAPIPV | DTAP + IPV (QUADRACEL) | SANOFI PASTEUR | 5 | U8383AB | IM / LL |
Assessment & Plan Vaccine reaction, initial encounter Patient has experienced localized reaction to vaccine administered to L thigh 2 days ago. Vaccines administered were MMR and Dtap/IPV. I suspect the reaction was to Dtap/IPV. Reassurance given that rash will likely subside and does not indicate an allergy to the vaccine. Coop compresses. VAERS report submitted. As needed follow up or if symptoms don't resolve in 3-5 days. SUBJECTIVE Patient is a 4 y.o. who is here today for a reaction to MMR or DTaP/IPV (Quadracel) vaccine. Done on 09/02/2025 Mother reports redness at the injection site following vaccine administration (around 3 pm x2 days ago). By the following morning, swelling and rash developed. At 9:00 AM the affected area measured approximately penny-to-nickel size, and by 4:00 PM had progressed to silver-dollar size. Since then, the reaction has spread from the injection site to involve the entire thigh, extending down toward the knee. Mother describes splotchy and streaking erythema, with the area warm to the touch. Patient is experiencing burning pain and has difficulty with movement. No history of prior vaccine reactions. Mother denies lethargy, increased fatigue, or other systemic symptoms. The reaction stemmed from the DTaP/IPV (Quadracel) injection.
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