Received Mar 25, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAP | DTAP (INFANRIX) | GLAXOSMITHKLINE BIOLOGICALS | 4 | JP227 | IM / LL |
| HIBV | HIB (PEDVAXHIB) | MERCK & CO. INC. | 3 | Z0077110 | IM / RL |
| MMRV | MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) | MERCK & CO. INC. | 2 | Z010732 | SC / LL |
| UNK | VACCINE NOT SPECIFIED (NO BRAND NAME) | UNKNOWN MANUFACTURER | 1 | Z015167 | SC / RL |
Patient received a double dose of varicella due to receiving an MMR-V and Varicella vaccine when patient should have received JUST MMR and Varicella.
none
tree nuts and eggs