Received Nov 18, 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 | LX2496 | IM / LL |
| RV5 | ROTAVIRUS (ROTATEQ) | MERCK & CO. INC. | 1 | Y018378 | PO / MO |
Child to agency with mother and father this am for 2 month vaccines (DTaP, IPV, HIB, Hep B, PCV20, and Rotavirus). Mother verbalized she would like the child to have the RSV monoclonal antibody as well. VIS forms were offered. Child was weighed and screened for precautions/contraindications. Child has no allergies to mother's knowledge. She has only recieved a Hepatitis B vaccine at birth. Nurse prepared vaccines and then administered them around 8:17 am. Child was fussy immediately following injections, not an atypical response for infants receiving vaccines. Nurse told mom and dad to please take their time in the exam room, and nurse would be back in a few minutes to check on them. Around 8:25 am, nurse was alerted by WIC staff that parents needed a nurse in the room. Baby was still not consolable by mom or dad. Upon visual inspection of child, nurse observed purple, blotchy skin and hives to bilateral lower extremities. Child did not have airway or breathing impairments at that moment, but cirulation to lower extremities was a concern due to the symptoms described in the previous statement. Nurse let mom and dad know she would be calling an ambulance. Nurse asked staff to call a code 44 over the intercom for additional help. RN arrived and continued assessing ABC's on the child while another RN called EMS. Call took place at 8:27 am. Nurse entered room again after stepping out for EMS call. RN had not been able to obtain an oxygen saturation on the child with the finger probe to the first left toe. RN applied the probe to right first toe to attempt obtaining oxygen saturation at a different site. While that was pending, nurse assessed breaths per minute as described below. Blood pressure and pulse obtained via machine at 8:33 am, as described below. BP was 107/83, and pulse was 132 beats per minute. EMS arrived around 8:34 am, and they were able to obtain an oxygen saturation. It was 99%, and they discussed placing child on oxygen but did not do so at that time. In between vitals RN prepared appropriate dosing of Benadryl for IM use. RN administered 0.125 mL of Benadryl IM to right vastus lateralis at 8:38 am. Following the Benadryl, nurse listened to breath sounds again and heard definitive wheezing. RN and EMS staff discussed appropriate dosing of epinephrine, and RN prepared the dose from the ampule (a filter needle was used for drawing up vaccine). RN administered 0.04 mL of epinephrine IM to left vastus lateralis at 8:42 am. After epi, EMS staff worked together to place child in safety seat on stretcher and get hooked up to vitals machine before wheeling out of the exam room to the ambulance. RN provided name, DOB, and vaccine information to EMS staff prior to their departure around 8:45 am. Nurse spoke with mom and dad briefly and let them know nurse would be calling later today to check in on the child. Parents did not have questions at this time.
no known illnesses
no known health conditions
Acetaminophen, Mommy's Bliss soothing tablets
no known allergies
N/A