Received Nov 7, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTPPVHBHPB | DTAP+IPV+HIB+HEPB (VAXELIS) | MSP VACCINE COMPANY | 1 | U8314AA | IM / LL |
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 1 | LX2498 | IM / RL |
| RV5 | ROTAVIRUS (ROTATEQ) | MERCK & CO. INC. | 1 | 2139674 | PO / MO |
Patient received vaccines on 11/6/2025 at approximately 9am and later had the adverse reaction on 11/6/2025 at approximately 12pm. Patient had approximately 35 minutes of lethargy, poor tone, perioral cyanosis and unresponsiveness. Patient was admitted to the hospital.
NA
NA
NA
NKA
Lactate 2.5, Ammonia 4.3