Received Jun 23, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAPIPVHIB | DTAP + IPV + HIB (PENTACEL) | SANOFI PASTEUR | 3 | UK379AA | IM / LL |
| HEP | HEP B (RECOMBIVAX HB) | MERCK & CO. INC. | 3 | Z013291 | IM / LL |
| PNC15 | PNEUMO (VAXNEUVANCE) | MERCK & CO. INC. | 3 | Z015202 | IM / RL |
| RV5 | ROTAVIRUS (ROTATEQ) | MERCK & CO. INC. | 3 | Z012201 | PO / MO |
Mother (who is a nurse) reported that on Friday, 6/15, about 5 hours after the patients received her vaccines. "Patient had an episode of becoming quite unresponsive, cyanosis, shallow breathing and was briefly bradycardic. The episode lasted 10-15 minutes. Patient cry a bit but with vigorous stimulation. Mother called the EMS and patients turned around stimulation by the time they arrived. Patient's vitals were normal and her blood sugar was 119." Mother also reports that patient has been totally normal ever since.
None noted on the chart.
None listed on patient's chart
None reported in our EHR.
No known allergies reported in our EHR .
None