Received Nov 18, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | 1 | 3053238 | IM / RL |
| FLU3 | INFLUENZA (SEASONAL) (FLUZONE) | SANOFI PASTEUR | 1 | UT8858JA | IM / RL |
| HEPA | HEP A (VAQTA) | MERCK & CO. INC. | 1 | Z009549 | IM / LL |
| MMR | MEASLES + MUMPS + RUBELLA (MMR II) | MERCK & CO. INC. | 1 | Z005718 | SC / LL |
11/4/2025 - At 8:51am, mom screamed out for help. Mom and mom report that after the last vaccine was administered, patient was picked up by mom and started having the following symptoms: blue skin in face around temples, shaking neck up, uncertain about shaking in other parts of body, eyes rolled back, had pause in breathing <20 seconds. Vitals were checked at that time and were within normal limits. Normal anterior fontanelle, normal heart and lung exam. Skin pink, cap refill < 2 sec. Was crying and fussy, but consolable. Mom and mom said that she has had breath holding spells after prior vaccines, but not to this extent. I check in on patient again at 9:20am and she is calm, awake, alert in mom's arms. She is tired, but mom and mom shared that it is her nap time. Normal fontanelle and cap refill < 2 seconds in setting of mom sharing that patient looked pale. 11/12/2025 Second episode MOC put patient in crib for nap. Patient pulled to stand after MOC left the room, hit side of face on railing of crib, mom heard it and ran up to room. Initially cried but then did not let out. Was facedown on bed. Mom picked up and eyes were glazed over, seemed like she was not all there. Arms and legs were limp. Mom rubbed her chest to stimulate Took 20-25 seconds to start crying again Called EMS, vitals were normal. Behavior is normal now
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