Received Jan 21, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLULAVAL) | GLAXOSMITHKLINE BIOLOGICALS | 6 | 34N52 | — |
12/22/25 Chief Complaint Reaction to influenza vaccine with arm swelling and itching, fever since vaccination on Thursday, decreased appetite and difficulty swallowing solids, fatigue and low energy Test: Flu Test Report Date: 12/22/2025 Flu A neg Normal Flu B neg Normal ? Test: Quidel QuickVue SARS Rapid Antigen Test Report Date: 12/22/2025 SARS-CoV-2 (COVID-19) Ag [Presence] in Upper respiratory spe neg Normal ? Test: Rapid Strep Report Date: 12/22/2025 Rapid Strep neg Normal Microbiology: Rapid Detection (Kit): Performed rapid group identification for streptococcus group A beta hemolytic. Infectious Agent Antigen Detection: Performed immunoassay with direct optical observation for influenza. Assessment ? Upper respiratory infection Plan ? Acute upper respiratory infection, unspecified Lab: Strep A Culture Acetaminophen 160 MG/5ML mL 12.5 ml PO q6h prn fever/pain, 7 days, 0 refills 12/27/25 Patient is an 8-year-old male (28.5 kg) seen in follow-up after throat culture returned positive for Group A Streptococcus. Rapid strep test performed at prior visit was negative. Per mother today, patient is feeling improved, now able to eat and swallow without difficulty, and has had no fevers. Energy level has improved. No new symptoms reported. At prior visit, patient presented with several days of low-grade fever, decreased oral intake, fatigue, and difficulty swallowing following influenza vaccination. Initial symptoms included localized arm swelling and itching at injection site, which has since resolved. Mother was concerned due to patient?s history of kidney disease and similar symptoms in the past. Patient denied throat pain but had poor intake and appeared weak at that time. Past Medical History: Kidney disease (off kidney medications) Asthma
None
ive Problems & Conditions ? Acute Renal Failure - Eval 11/2022 by Renal: follow-up in 1 yo: with US and trend Cr s/p recovery. related to HUS in 2019 & required daily HD. weaned off PO BP medications. ? Adhd, Combined Type - See 3/'25 [withheld] Qs. & 4/17 visit note R'xed MPH 5 mg. ch. BID Cont. counselling since he also has the prolonged hosp'n in 9/2019 to 10/2019 with Acute kidney injury/HUS/ needed dialysis, etc. ? Allergic Rhinitis ? Asthma Persistent - - continues on budesonide and albuterol PRN via nebulizer ? Bacterial Pneumonia Oct 2021 ? Coronavirus Covid-19 Infection - February 2021 ? Developmental Disorder - Language - - unclear speech, mom can understand 50% ? Non-autoimmune Hemolytic Uremic Syndrome - hospitalized 9/27 to 10/7 2019 for Shiga toxin + HUS w/AKI, received dialysis ? Past Medical History [for Dx Hist Use Dx + H Prefix] - Seen ED, transferred to [withheld], flu A, resp failure ? Personal Hx of Allergy To Peanuts - See Allergist consults Last report 11/'23- Q. of Peanuts Allergy- though the 11/'23 Allergist consult shows as 'Ok to eat all nuts ad lib'Referred again 8/'24 ? Poor School Performance
Cetirizine 5 mg. q AM Albuterol for Neb. (mom prefers the Neb. & not the MDI) Budesonide 0.5 mg via neb. Q HS
Cats, dogs, eggs-mild, nuts- per allergy has reintroduced nuts successfully
FLU, COVID, Strep all neg, Strep Culture results Positive for Group B strep