Received Oct 10, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAPIPV | DTAP + IPV (KINRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 4L454 | IM / RA |
| FLU3 | INFLUENZA (SEASONAL) (FLUZONE) | SANOFI PASTEUR | 1 | U8854AA | IM / LA |
| MMR | MEASLES + MUMPS + RUBELLA (MMR II) | MERCK & CO. INC. | 2 | Y019930 | SC / RA |
Began with rash yesterday, started with tiny cluster on knee. +itchy. Also, had a few spots on flank. Awoke this AM with rash "everywhere." Still uncomfortable - gave Benadryl 4mL this AM. Rash has only gotten worse since she woke up. Denies fever. +cough, was present before vaccines, becoming more wet/croupy. +congestion. Denies v/d. I/O WNL, sleep interrupted over the last 2 nights, decreased activity level.Recommend Cetirizine 5mL today, then switch to 2.5mL BID starting tomorrow. If itching persists, parents to call and we can RX Prednisolone. Will refer allergist for eval of possible DTaP reaction, explained to parents that pt will not receive polio, MMR, or VZV vaccines in the future. Will look for clearance for pt to receive Tdap in future. Discussed signs of anaphylaxis in detail call if they occur. Parents agreeable to plan, no unanswered questions.
vomiting 2 days prior and had fever Tm 99.
Other disorders of optic nerve, not elsewhere classified, right eye
none
amoxicillin