Received Mar 12, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAPIPV | DTAP + IPV (KINRIX) | GLAXOSMITHKLINE BIOLOGICALS | 5 | 52D72 | IM / LA |
THE LEGAL GUARDIAN STATED THAT THE CHILD WAS GIVEN A BATH LAST NIGHT AND STATED THE ARM DID NOT HAVE THE REDNESS AND SWELLING THEN STATED THE CHILD WENT TO HIS AUNT'S THIS MORNING AND SAID THE AUNT NOTICED THE APPEARANCE OF REDNESS AND SWELLING AT THE SITE WHERE THE CHILD HAD RECEIVED VACCINES. LEGAL GUARDIAN BROUGHT THE CHILD INTO CLINIC TO HAVE NURSE LOOK AT THE REACTION. THE CHILD LEFT DELTOID AREA WAS RED, SWOLLEN, AND HAD SOME HEAT COMING FROM THE AREA. THE AREA WAS 10 CM IN LENGTH AND 3.5 CM IN WIDTH ON THE CONTRALATERAL SIDE OF THE ARM THERE WAS A TICK BITE WITH REDNESS AROUND THE AREA ALSO.
legal guardian did not report any illness at the time of vaccination
none reported
none reported
no known allergies