Received Oct 9, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAPIPVHIB | DTAP + IPV + HIB (PENTACEL) | SANOFI PASTEUR | 1 | UK341AA | IM / RL |
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 2 | LX2496 | IM / LL |
| RV5 | ROTAVIRUS (ROTATEQ) | MERCK & CO. INC. | 2 | 2142134 | PO / MO |
Patient was slightly more fussy after receiving vaccines in the morning but overall well immediately afterwards. Took a nap at 4:30pm for 2 h (which is longer than usual for her). Woke up at 6:30pm, fed at 6:45pm and around 7:30pm her family member was holding her she she became very sleepy/lethargic. Looked as if she was falling asleep but was noticed by family to have grey discoloration of her skin. Her lips looked pale and she spit up a little but then then projectile vomited. After that again looked sleepy and her eyes were closing. She then projectile vomited again and her eyes rolled back in her head. For about 20 minutes she was going in and out of consciousness - blue lips, grey skin, falling asleep. EMS arrived and once in the ambulance she started to wake up more. About 5-10min after ambulance arrival she was moving around, gripping, smiling. In ambulance looked a little dazed and fell asleep again but woke up when stimulated. She was back to her normal baseline by the time she got to ER. She was admitted and had a 24 hour VEEG which was normal. Diagnosed with a BRUE and discharged home and was well since that time.
None
None
Vitamin D; Nirsevimab
None
VEEG x 24 hours normal. CBC with diff and BMP normal, RVP negative.