Received Sep 16, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAPIPV | DTAP + IPV (QUADRACEL) | SANOFI PASTEUR | 5 | U8623AA | IM / LA |
| FLU3 | INFLUENZA (SEASONAL) (FLUCELVAX) | SEQIRUS, INC. | 4 | 406987 | IM / LA |
| MMRV | MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) | MERCK & CO. INC. | 2 | Z010379 | SC / RA |
Patient woke during the night crying, shaking and pain - given Tylenol and went to ER - arrived at ER just before midnight on 9/10/2025 - she left at 1:08am on 9/11/25 without being seen as symptoms had resolved - she went back to ER on 9/11/25 at 7:27pm due to pink tinged urine - she had erythemia on left arm- denied any other symptoms - she was was admitted for observation due to lab work - she was given 1.5 liter of saline - she was started on Amoxil for positive u/a but discontinued once culture came back with multiple flora -
NO
NO
ad microscopic and gross hematuria - she had mildly elevated CPK to 300 on admission but decreased to 270 by discharge - she had negative kidney function test - mild leukocytosis a milk leukocytosis to 13.3 but that was down trending - mildly elevated AST - CRP was 21.7 and ESR was 28 - she was negative resp viral panel - discussed with nephrologist - differentials include - glomerulonephritis particularly IgA or post infectious glomerulonephritis but less likely due o no preceding illness - could also be an interstitial nephritis due to 1 or more vaccine received discharged and told pink tinge should resolve in 1 week - will make follow-up appt with pcp