Received Dec 31, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTPPVHBHPB | DTAP+IPV+HIB+HEPB (VAXELIS) | MSP VACCINE COMPANY | 1 | U8309AA | IM / LL |
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 1 | MA2483 | IM |
| RV1 | ROTAVIRUS (ROTARIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | J757K | PO / MO |
| UNK | VACCINE NOT SPECIFIED (OTHER) | UNKNOWN MANUFACTURER | 1 | AZ240098 | IM / RL |
He received vaccinations yesterday at 2 PM. Following the vaccinations, he developed a rash and vomited 1 time at approximately 10:30 PM last night. He was up frequently during the night. This morning, his temperature was 100 degrees Fahrenheit without antipyretics. He was given 2.5 mL of infant Tylenol at approximately 8 AM, which did not seem to calm him down. Current temperature is 99.3 degrees Fahrenheit. The rash was first noticed this morning and is located on his head and legs, chest, back. Dad reports 1 episode of vomiting last night at approximately 10:30 PM, described as an actual vomit rather than spitting up. He has had normal bowel movements with no diarrhea. No other abnormalities have been noted aside from the rash and fever.
Hx significant for newborn exposure to syphilis
patient records with exposure of maternal syphilis during utero
none
none
Patient is currently stable, therefore I think it is appropriate that patient be discharged home. I will reach back out to you if patient's PCP has further instructions. Provided patient education both verbal and with written handout. Provided reassured family that he appears stable and is not in any distress requiring emergency department evaluation. Continue to treat low-grade fever with Tylenol/ibuprofen Discussed red flag warnings and when to return to CC/ER.