Received Oct 23, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTPPVHBHPB | DTAP+IPV+HIB+HEPB (VAXELIS) | MSP VACCINE COMPANY | UNK | — | — |
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | UNK | — | — |
| RV1 | ROTAVIRUS (ROTARIX) | GLAXOSMITHKLINE BIOLOGICALS | UNK | — | — |
Parents alerted staff shortly after 2 month vaccines were administered. Pallor noted on face. Provider at bedside immediately. Exam concerning for mild pallor of face, breathing comfortably, no respiratory distress. Cap refill approx 4 seconds. Patient alert. No vomiting. Transmitted upper airway noises due to laryngomalacia, but clear breath sounds throughout. S1 S2 noted. Crying, but easily consoled. Unable to obtain initial BP on UE or LE. Sluggish cap refill post BP attempt in RUE. Second provider called to bedside for assessment. Other than mild pallor, reassuring examination. Pulse ox 95% with 128 bpm on right toe. Patient monitored at bedside for 40 minutes with serial repeat examinations. Patient fed formula, and fell asleep. Repeat examinations within normal. Vitals upon discharge: RUE: 95/55, LLE: 107/61, Pulse ox 96%, 113bpm. Sleeping comfortably in father's arms. Parents agree color is back to normal. Baby's face appears pinker, no perioral cyanosis. Lungs CTAB, Heart S1 S2 noted, no murmurs. Cap refill < 3seconds. Possible vasovagal response to injection. STRICT ER return precautions discussed with parents. They are comfortable and agreeable with discharge. Referral to Cardiology placed given incident.