Received May 6, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAPIPV | DTAP + IPV (KINRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | E2JX7 | IM / LA |
| MMRV | MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) | MERCK & CO. INC. | 1 | Z016252 | SC / LA |
Pt given 2 vaccines to left arm on 05/01/2026. Today daycare called parent c/o itchy rash. Pt came into office for assessment. PCP noting left arm 3" length circumferential raised warm, pink plaque hives 1/2" to 3/4" diameter.
N/a
Dermatitis, asthma
None - Hx of albuterol use
NKA
N/a