Received Nov 17, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAPHEPBIP | DTAP + HEPB + IPV (PEDIARIX) | GLAXOSMITHKLINE BIOLOGICALS | UNK | 9P329 | IM / LL |
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 2 | LX2496 | IM / RL |
| RV1 | ROTAVIRUS (ROTARIX) | GLAXOSMITHKLINE BIOLOGICALS | 2 | EX434 | PO / MO |
No adverse s/s noted by parents, patient was intended to get DTaP-IPV-Hib (Pentacel) but was given DTaP-HepB-IPV (Pediarix).
None
None
None; RSV (Beyfortus) 100mg
NKDA
N/A