Received Dec 16, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTPPVHBHPB | DTAP+IPV+HIB+HEPB (VAXELIS) | MSP VACCINE COMPANY | 3 | U7899AA | SC / LL |
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 3 | MF0415 | IM / RL |
| RV1 | ROTAVIRUS (ROTARIX) | GLAXOSMITHKLINE BIOLOGICALS | 3 | GG2YS | PO / MO |
4 hours after administration developed generalized body rash and fever 101.7. As reported by parents.
Diarrhea 2 days prior
None
None
N.KD.A
Parents took baby to emergency room on 5/15/25 Do not have ER reports