MOC REPORTS THAT PATIENT HAD A FEVER (99.6 F) ON WEDNESDAY , 1/1/2025. SHE GAVE THE PATIENT INFANT TYLENOL EVERY 4 HOURS FOR 3 DOSES UNTIL THERE IS WAS NO MORE FEVER. ON THURSDAY, 1/2/2025, MOC REPORTS THAT PATIENT WAS DOING BETTER. ON FRIDAY, 1/3/2025, MOC TOOK PATIENT TO THE PRIMARY PROVIDER TO GET VACCINES. ON SATURDAY, 1/4/2025, MOC NOTICED THAT PATIENT BECAME VERY FUSSY AND CRIED A LOT, HOWEVER, SHE WAS CONSOLABLE. ON SUNDAY, 1/5/2025, IN THE MORNING MOC REPORTS THAT PATIENT WAS STILL FUSSY, BUT NOW HAD A RASH ON HER. IT WAS ON BOTH ELBOWS, LEFT PINKIE AND MIDDLE FINGER, RIGHT RING FINGER AND LEFT FOOT AND KNEE WERE RED, HOT AND SWOLLEN. PARENTS TOOK PATINENT TO THE ER FOR FURTHER EVALUATION. MOC REPORTS THAT SHE TOLD THEM THAT PATIENT HAD SHOTS A COUPLE OF DAYS AGO. ER DIAGNOSED PATIENT WITH URTICARIA AND WAS PRESCRIBED PRENISOLONE 15MG/5ML SOLUTION – IN A STEP DOWN REGIMEN FOR 6 DAYS. MOC RPORTS THAT SHE WAS ADVISED TO FOLLOW-UP WITH PATIENT’S PRIMARY PROVIDER. WHEN SHE WENT PATIENT WAS REFERRED TO AN ALLERGIST FOR FURTHER EVALUATION.