Age: 0.01
Sex: F
Vaccine: HEP
Symptoms: Toxic skin eruption, Upper respiratory tract infection
Clinical narrative: Information has been received from a physician concerning a 9 month old female infant with a possible allergy to CERON DM, a maternal grandmother with anemia, a maternal grandfather with high blood pressure before 50, and a paternal grandfather with early deafness, and diabetes, who on 10-DEC-2007 was vaccinated in the left thigh with a first dose of PEDVAXHIB (Lot # 657174/0497U).  Concomitant suspect vaccinations included first, second, and third doses of ROTATEQ on 10-DEC-2007 (Lot # 657673/0904U), 30-JAN-2008 (Lot # 658379/1388U), and 02-APR-2008 (Lot # 660287/1887U), respectively.  The patient's vaccination records are as follows: ENGERIX-B on 12-OCT-2007, and 12-NOV-2007 (Lot # AHBVB432AA); ADACEL on 10-DEC-2007 (Lot # C2707AA), 30-JAN-2008 (Lot # C2033AB), and 02-APR-2008 (Lot # C2033AB): ACTHIB on 30-JAN-2008 (Lot # UF294AA), and 02-APR-2008 (Lot # UF236AA); IPOL on 10-DEC-2007 (Lot # A0169), 30-JAN-2008 (Lot # A047A), and 02-APR-2008 (Lot # A0474); PREVNAR on 10-DEC-2007 (Lot # B54013E), 30-JAN-2008 (Lot # B08702D), and 02-APR-2008 (Lot # B540134).  On 25-OCT-2007 the patient was seen in the office of her 0-1 month visit.  The patient experienced a blocked lacrimal duct and developed erythema toxicum.  Education was given on he erythema toxicum and the blocked lacrimal duct.  On 04-JAN-2008 the patient was seen at the office with complaints of cough and cold.  The patient's temperature was 97.7.  The patient was treated with a cool mist vaporizer.  AMOXICILLIN was started on 02-JAN-2008 and on 04-JAN-2008 the concentration of was changed to AMOXICILLIN 400 mg/5cc, 1 1/2 mL two times a day for less volume since the patient was spitting out medication.  The patient was also treated with ORAPRED 15mg/5cc, 4cc daily for 2 days.  The patient's father was a smoker, therefore it was advised to discontinue second hand smoke.  The patient was diagnosed with prolonged cough, and purulent rhinitis and was instructed to return in 3 to 4 days if not better.  On approximately 09-JAN-2008 the patient was seen in the office for a review of the sinus infection and to make sure her lungs were clear.  The patient's temperature was 96.5.  The treatment with the humidifier was reasurred, and the patient was advised to use nasal drops with suction.  The patient was still being treated with AMOXICILLIN.  On 10-MAR-2008 the patient was seen for a possible sinus infection and was not eating well.  The patient had experienced a cough for 2 days, a runny nose for 1 day, was tugging at both ears, and her right eye was crusty.  The patient had developed tiny pink papules on her truck, neck, and face.  The patient's temperature was 99.  The patient was prescribed TYLENOL as needed for fever, ear pain, and prolonged symptoms.  The patient was diagnosed with an upper respiratory infection and reactive airway disease.  On 17-MAR-2008 the patient was seen at the office and diagnosed with a prolonged upper respiratory infection.  The patient was treated with AMOXIL 200mg/5mL, 1/2 teaspoonful two times a day for 10 days and continued treatment for symptoms.  The patient's temperature was 98.7.  At the time of the report, the outcome of the patient was unknown.  Additional information is not expected.