Age: 11.0
Sex: M
Vaccine: HEP, TD
Symptoms: Blood pressure decreased, Dizziness, Eye movement disorder, Hyperaesthesia, Injection site mass
Clinical narrative: 3-19-03 RECEIVED A SECOND DOSE OF HEPATITIS-B VACCINE (FIRST DOSE WAS IN 1997) AND ALSO A SHOT OF TETANUS/DIPTHERIA VACCINE.  HE WATCHED THE NURSE GIVE HIM THE SHOTS AS HE ALWAYS HAS, EVEN FOR IV'S HE WATCHES, SO HE ISN'T SQUEEMISH BECAUSE OF THAT; HOWEVER, WHEN WE GOT TO THE CHECK-OUT WINDOW ABOUT 2 MINUTES AFTER THE SHOTS, HE SAID HE FELT DIZZY AND I TURNED AROUND TO TALK WITH HIM AND WHEN I TURNED AROUND HIS EYE WERE ROLLED BACK IN HIS HEAD AND HE WAS FALLING STRAIGHT BACK, THERE WAS NOTHING I COULD DO.  HE FELL VERY HARD ON HIS SHOULDERS AND THE BACK OF HIS HEAD BECAUSE HE FELL STRAIGHT BACK.  I WENT DOWN TO HIM IMMEDIATELY AND TRIED TO AROUSE HIM BUT HE WAS UNCONSCIOUS. I CALLED FOR HELP IMMEDIATELY AND YELLED THAT HE HAD PASSED OUT AND THEY CAME RUNNING.  WHEN THE NURSE GOT TO HIM HE STARTED TO RE-GAIN CONSCIOUSNESS RIGHT AFTER THAT.  HIS MOUTH DREW TO THE SIDE AND HIS EYES JUST ROLLED AROUND IN A STRANGE GAZE, AS A PERSON HAVING A SEIZURE, BUT I'M NOT SURE IF HE ACTUALLY HAD A LITTLE SEIZURE OR NOT. WHEN I MENTIONED IT TO THE NURSE, SHE DIDN'T SEEM CONCERNED. I HAVE HEARD THAT NOT ALL SEIZURES ARE VERY LONG AND EVENTFUL, ALL I KNOW IS THAT FOR HIS MOUTH TO DO WHAT IT DID WAS NOT NORMAL FOR HIM AND THAT IS WHY I MENTIONED IT TO THE NURSE THAT FIRST HELPED US.  I DON'T KNOW IF ANYONE EVEN WROTE IT IN A REPORT.  I DID MENTION IT AT THE HOSPITAL ALSO.  THEY RE-EVALUATED HIM AND HIS BLOOD PRESSURE KEPT DROPPING AND HE STARTED INTO SHOCK.  HE TURNED YELLOW AND SPLOTCHY AND SHOOK VERY HARD.  HE WAS SOAKED ON HIS BACK WHEN WE PICKED HIM UP OFF OF THE FLOOR.  HE HAD A VERY LARGE BUMP ON THE BACK OF HIS HEAD BUT NO BREAK IN THE SKIN, ONLY SURFACE BLOOD BRUISES.  THEY CALLED THE RESCUE SQUAD BECAUSE HIS PRESSURE WAS GETTING WORSE AND WHEN THEY GOT THERE THEY GAVE HIM OXYGEN AND PUT A COLLAR ON HIM AND STRAPPED HIM TO A BOARD AND TOOK HIM TO THE HOSPITAL EMERGENCY ROOM.  WHEN HE GOT THERE THEY DID BLOOD WORK AND A CHEST X-RAY AND TRIED TO MAKE ME BELIEVE THAT HE HAD PASSED OUT FROM SEEING THE NEEDLE. THEY DIDN'T EVEN OFFER ANYTHING FOR PAIN UNTIL I ASKED, AND THEY CAME TO ME WITH DISCHARGE PAPERS FOR ME TO SIGN AND I ASKED THEM WHY THEY DIDN'T DO SOMETHING LIKE A CT SCAN ON HIS HEAD BECAUSE MOST OF HIS FALL WAS FELT BY HIS HEAD? THEY SAID THAT THEY DIDN'T SEE THE NEED TO BECAUSE HE HAD NOT LOST CONSCIOUSNESS. THEY WERE WRONG. AT ANY CHANCE FOR EITHER HIM OR MYSELF TO TELL THE STORY THERE WAS THE TRUE STORY, WHICH DEFINITELY INCLUDED THE LOSS OF CONSCIOUSNESS. THEY GAVE HIM A CT SCAN AND PUT IN THE HOSPITAL FILE THAT IT WAS AT THE MOTHERS REQUEST. (VERY STRANGE) OF COURSE I WANTED IT DONE TO RULE OUT ANY HEAD INJURY BUT THEY WOULDN'T HAVE EVEN DONE ANYTHING ABOUT HIS HEAD IF I HADN'T SAID ANYTHING. WELL, IT GETS WORSE! THE CT SCAN REVEALED WHITE MATTER INFARCTS THAT SHOULDN'T BE IN A YOUNG PERSONS BRAIN AND ADVISED THAT HE GET AN MRI. HE RETURNED FOR THE MRI BECAUSE IT WAS A MOBILE UNIT, THE HOSPITAL DOESN'T HAVE THEIR OWN MACHINE. THE MRI WAS DONE 3 DAYS LATER AND CONFIRMED THAT HE DID IN FACT HAVE THREE SEPERATE INFARCTS IN DIFFERENT PLACES AND A POSSIBLE OTHER PROBLEM WITH AN ARTERY THAT THEY THEN RECOMMENDED BE FOLLOWED BY A NEUROLOGIST. THEY REFERRED US TO A DOCTOR AND ARRANGED THE APPOINTMENT FOR US. WE HAVE NOT BEEN THERE YET AS OF THIS FILING, BUT I SUSPECT HE WILL DO AN MRA AND POSSIBLE OTHER BRAIN TESTS. THE HEALTH DEPARTMENT SAID THAT THEY WERE DOING AN INCIDENT REPORT ON THIS AND I HAVE REQUESTED A COPY OF IT FOR MY RECORDS. I ASKED TO SEE THE BOTTLES OF VACCINE THAT THEY USED IMMEDIATELY FOLLOWING THE EPISODE AND THE NURSE TOOK ME TO THE REFRIGERATOR AND SHOWED THEM TO ME . THEY WERE NOT EXPIRED AT THAT TIME, HOWEVER I DIDN'T THINK TO COPY THE LOT NUMBER, ETC AT THAT TIME BUT I AM SURE THAT THEY WOULD HAVE HAD TO DO THIS ON HIS RECORD. I ASKED THEM TO REPORT THE VACCINE AND TOLD THEM THAT I THOUGHT THAT THEY SHOULDN'T GIVE IT TO ANY OTHER PEOPLE. I ASKED THEM LATER ON A FOLLOW UP VISIT, AND THEY SAID THAT THEY GAVE MANY MORE SHOTS OUT OF IT THAT SAME DAY WITH NO PROBLEMS. I FEEL REALLY BADLY ABOUT ALL OF THIS AND HE HAS REALLY GONE THROUGH A LOT BECAUSE OF THIS. HE HAD TO GO TO 5 VISITS RELATED TO THIS AND MISS OUT ON HIS ENTIRE TRACK-OUT FROM SCHOOL. HE GOES TO A YEAR ROUND SCHOOL AND THEY WERE ON ONE OF THEIR BREAKS AT THE TIME. HE COULDN'T MOVE HIS NECK AT ALL FOR DAYS. IT WAS SWOLLEN AND EXTREMELY SORE AND HIS SKIN WAS SUPER SENSITIVE WHEN I WOULD TOUCH HIS NECK OR CLAVICAL AREA. HE SAID IT FELT LIKE A BOLT OF ENERGY OR SHOCKWAVE AND IT HURT TO JUST TOUCH HIS SKIN. THAT FINALLY WENT AWAY AND AFTER 5 DAYS HE REGAINED MOST OF HIS RANGE OF MOTION. IT IS STILL NOT COMPLETELY AS IT WAS, BUT WITH TIME I EXPECT IT WILL. HIS BRAIN REMAINS AFFECTED. HE HAS NEVER HAD A BIG FALL OR HIT HIS HEAD. HE HAS NEVER HAD A SEIZURE BEFORE THIS QUESTIONABLE ONE. WE STILL DO NOT KNOW WHAT THE LONG TERM EFFECTS WILL BE. HE HAS AN ADHD PROBLEM; BUT I ASKED THE DOCTOR ABOUT THIS AND HE SAID THAT THIS DISORDER COMES FROM A DIFFERENT PART OF THE BRAIN THAN HIS INJURIES ARE IN.