Received Jan 13, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAPIPV | DTAP + IPV (QUADRACEL) | SANOFI PASTEUR | 5 | U8623AA | IM / LA |
| MMRV | MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) | MERCK & CO. INC. | 2 | Y019174 | SC / LA |
On 1/10/26 approximately 11:30am Mom said patient's left upper arm at vaccine site was tender, red, swollen and warm to touch. Patient was seen in our office on 1/12/26 and the injection site is noted to be tan/brown macular oval of 7x8 cm on left upper arm lateral surface. No tenderness. FROM of arm with no pain on flexion or extension.
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