Received Nov 26, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HIBV | HIB (HIBERIX) | GLAXOSMITHKLINE BIOLOGICALS | 2 | CX739 | IM / RL |
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 2 | MA2484 | IM / RL |
| RV1 | ROTAVIRUS (ROTARIX) | GLAXOSMITHKLINE BIOLOGICALS | 2 | J757K | PO / MO |
| UNK | VACCINE NOT SPECIFIED (FOREIGN) | UNKNOWN MANUFACTURER | 1 | az240065 | IM / LL |
| UNK | VACCINE NOT SPECIFIED (OTHER) | UNKNOWN MANUFACTURER | 2 | TE499 | IM / LL |
Pt was given a dose of Beyfortus 100mg on 11/26/2025 at 9:35am along with 4 month old vaccines (Pediarix, Hiberix, Prevnar 20, Rotavirus). Pt was advised to wait 15 minutes after administration for any adverse reactions. After it was noted pt was given an additional dose of Beyfortus 100mg, previous dose given on 9/30/2025, MD was made aware of incident. MD spoke to mother informing pt had to wait an additional 15 minutes for any adverse signs/symptoms of receiving an additional dose of Beyfortus 100mg. After the 30 minutes were completed, a set of vitals were taken, respirations 36, pulse 110 and 112, auditory temperature 98.0, pt was sleeping when vitals were taken. MD spoke to mother and advised her to call clinic if any adverse symptoms/signs occur after visit.
none
none
none; Beyfortus
none
none