Age: 1.2
Sex: M
Vaccine: DTP, HIBV, MMR, VARCEL
Symptoms: Psoriasis, Pyrexia, Rash erythematous, Rhinorrhoea, Vomiting projectile
Clinical narrative: The same day of the vaccination, the patient developed a "temperature". On 08/15/1999, the patient developed a "red rash and big bumps, bigger than pox, on his head and hairline, and on his legs". The patient's physician informed the patient's mother that he had a virus and it would work its way out." The patient was treated with a cream. The symptoms would go away and then reappear. The bumps were itchy. The patient was diagnosed by a dermatologist as having psoriasis, and advised it could last 6 months. "Now the patient just get lumps, not the rash, on his arms, his legs and back, The lumps start as a red mark and by the end of the day,a head with liquid forms and the next day its gets bigger sometimes of a dime. Follow up information indicated indicated that on 08/15/1999, the patient was treated with Benadryl and Aveeno. On 08/16/1999 the patient was treated with Motrin and Tylenol, tepid baths, and fluids. On 08/18/1999 the patient was seen by a physician who stated the patient had a viral illness and exanthema. The physical exam was normal, however large red tonsils were noted. On 09/26/99, the patient was noted to have a bump the size of a quarter on the leg for three days, the mother of the patient was instructed to cover it with a bandage. On 10/08/99, the patient developed "matted eyes, runny nose and cough". It was reported on 10/21/99 that the patient had an allergy to MMR. On 10/21/99, the patient had projectile vomiting, one loose stool, fever of 100.9F, irritable and was pulling at his ears. He was noted to have right otitis media and parapsoriasis. The patient was treated with Amoxil. On 11/05/99, the OM resolved. On 01/23/00, the patient was treated with Robitussin, half a treaspoon every 6 hours, for a fever and a moist cough that has persisted for 2 days and a runny nose that has persisted for 2 days. On 01/27/00, it was indicated that the patient was still experiencing a runny nose and cough. The patient was taking Atarax at this time. On 05/07/00 the patient was experiencing a decreased appetite, screaming and was fussy. It was reported that the patient "seems to quiet down when pressure is applied to his ears". On 05/07/2000, the patient was diagnosed with parapsoriasis, "now he has little bumps all over his body and is crying for no reason" and is thought to have pharyngitis. Additional information from medical records noted that on 01/25/01 , the patient had a temperature of 100 deg F, earache, cough, runny/stuffy nose described as "dark green" drainage), and a sore throat.The patient was given Amoxil. On 03/13/01, the patient's parents requested antibiotic therapy after their child developed fussiness, pulling at ears, sensitive to noise, decreased sleep, and runny nose. It was the impression that he had a left OM. The patient also had a red left typhanic membrane. The patient was given Amoxil On 03/24/01,the child was taking Advil and he had a rectal temperature of 98.5 Deg F. The patient's ears were reported to be normal and clear and how his OM had resolved. It was recommended that he continue on Augmentin for five more more days. Additional information has been requested.