Received Mar 11, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAP | DTAP (INFANRIX) | GLAXOSMITHKLINE BIOLOGICALS | 2 | M4ZE7 | IM / RL |
| HIBV | HIB (ACTHIB) | SANOFI PASTEUR | 2 | UK363A | IM / LL |
| IPV | POLIO VIRUS, INACT. (IPOL) | SANOFI PASTEUR | 2 | Y1D03P1 | SC |
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 3 | MA2506 | IM / LL |
None
None
None
None
No known food/drug allergies
None