Age: 3.0
Sex: M
Vaccine: PNC13
Symptoms: Abdominal pain upper, Agitation, Crying, Hyperacusis, Injection site erythema
Clinical narrative: Patient has been previously diagnosed with ASD and global developmental delay. Patient is considered by dr?s and the school district IEP Team as being non-verbal, as most of the words he is able to say are incomprehensible to most family and non-family members. On morning of 12/24/19, patient  received an intramuscular injection of PC vaccine. On evening of day 1 (12/24/19), patient  began crying and screaming at the slightest of noises. He became increasingly agitated at the littlest changes or annoyances. This lasted night and day until 12/28. Also occurring on evening of 12/24/19,  patient developed a quarter sized welt on his left thigh, consistent with that of what was described on our pediatrician?s website as a ?common reaction ? to the PC vaccine. However, on the mornings and evenings that followed, the welt and an associated rash grew significantly larger than the 3? size where, according to the pediatrician office website a phone call should be made within 24 hours. The welt was hard as a rock, bright red, hot to the touch, and quite painful for patient, and spread beyond the 3? in diameter around the injection site and began to spread to his inside thigh, near his diaper area. Documentation pictures were taken during this time. An email was sent on the evening of 12/25/19 followed by a phone call on morning of 12/26/19 to the pediatrician office. The receptionist stated she?s received the email and would review the concern with the pediatrician who was filling in for Dr. He informed her to tell me this reaction was still considered ?normal? despite my protest of it being MUCH larger than what was considered ?normal? on their website. I asked if I could send him the pictures to prove to him this wasn?t ?normal? and she said it wasn?t necessary, that he believed what I was describing to be ?normal?. I asked if we needed to be seen (their website suggests that with a 3? or larger reaction site, a phone call should be made within 24 hours), and they simply brushed it off saying, ?only if he begins to have trouble breathing.? They basically refused to admit this was a reaction!!  On 12/25, 12/26, 12/27, and 12/28, I applied a thick paste of bentonite clay directly to the reaction site twice per day, covered it with a cool wet washcloth and had to help patient in order to keep the paste and cloth on the site for 20 minutes each time. He repeatedly attempted to claw at the washcloth as well as the injection site saying ?ow? and ?bad? and ?hurt.? This occurred with and without the bentonite treatment. I never received a follow up call about if the injection site healed up. The welt/rash appeared to be raised almost 1/4-1/2? in thickness (eye-measurement). It covered  approximately 5.5-7? of his thigh and inside of his thigh depending on where measured. It stopped about 1.5? above his knee. Since 12/25 patient has complained daily of a ?tummy hurt? (stomach ache) and of his neck hurting. We have given 2 doses (1/day) of children?s acetaminophen on 12/29 and 12/30 for his neck and stomach issues, but appear to not be helping much.