Age: 1.26
Sex: M
Vaccine: HBHEPB, MMR
Symptoms: Injection site swelling, Insomnia, Laboratory test abnormal, Malaise, Nervousness
Clinical narrative: This patient had a fever immediately following his vaccinations on 11/29/00; Tylenol was given. He started jerking rapidly, and forceably in his sleep, wasn't feeling well, not playful or his usual happy self. On Friday, 12/01/00 at 1 Am, the patient was swallowing hard, having "heaves", and then kept vomiting, fever was still present. 12/01/00, took the patient to the ER, they took his temp (99.1), checked his ears and throat. After 2 hours of waiting and being told they weren't going to see the doctor for at least another hour; the baby stopped vomiting, was hungry and tired so the mother got permission to go home from the nurse. The nurse commented that the patient looked "yellow" and asked if he ate carrots a lot, I stated with his baby foods. On 12/02/00, the patient was restless sleeping, rapid foreceable movements (jerking and jumping) in his sleep. The mother recorder a 1/2 hour of this and took the video tape with them to see the pediatric neurologist on 12/05/00. At the appt the mother explained the jerking to the doctor and that it seemed as if it was getting worse. The neurologist ordered an EEG, checked his injection site, saw no signs of infection. On 12/06/00, about 4 AM, the patient woke up crying, warm and wet the bed. The a mother changed him and put him to bed with her. Around 8:15 AM the patient was turned face down gasping for air, it seemed he could not pick up his head. The mother turned him over his eyes rolled up, lips were blue, and he was convulsing and drooling. She tried to clear his air passage then called 911, his breathing got better and seizures ceased by the time 911 arrived; who took him to the hospital, where they did some tests. The mother notified them of his recent vaccinations. After about 4 hours and against her and her husbands better judgement the  doctors released with no antibiotics and a diagnosis of a virus. One of the nurses commented on the patient's "yellowish" appearance so the mother insisted on a bilirubin test. Since this was the 2nd time she heard this from a nurse. They took blood, check his vaccination sits, no apparent infection. The mother asked about the child's blood work before they left the hospital and the nurse said everything was just fine. Their only discharge instructions were to cycle the patient on Tylenol and Motrin. The mother notified the pediatric neurologist who scheduled an EEG for the next day 12/07/00. On 12/06/00, at 3 AM, the patient again had a high fever and jerking, the mother called the ER dept to speak with a nurse who advised a lot of liquid, after that the temp went down. On 12/07/00, The mother cancelled the EEG appt and took the child to the pediatric physician. The nurse took his vital, temp (down). The doctor commented on the patient's "yellowish" skin. The mother told the doctor the hospital they did test and a bilirubin test to check his liver and they told the mother everything was fine. The pediatrician said they did not do a bilirubin test and the blood test they did do show a skin contaminant, the urine test were Nml. The baby started to get tired so the mother held in her arms while the doctor went to check the patients bilirubin results; and the baby's head fell back, eyes rolled up, he was hot and seizing. The mother called out for help. The doctor came in the room with O2, rectal temp 101.3, and they called the ambulance and transported the patient and the mother to the hospital. Almost at the hospital when the baby let out a big cry/ gasp and started seizing, he was wearing an O2 mask and his face turned completely blue, his body turned red and hot. The EMT took the baby from the mother and began resuscitating him. As soon as they arrived to the hospital help came they "bagged" the baby for breathing until he stabilized (revived him). After they intubated and stabilized him the mother was allowed to see him. He was out on antibiotics and O2 and they did a spinal tap. The doctor said they would need to life flight the baby to another hospital due to the bad weather (snow) the patient and mom was taken by ambulance with an extra attendant in case the baby seized again. When they arrived to the Hospital the patient was given more Rocephin and Vancomycin, given an EEG and labs everything was Nml. The patient fever dropped after 2 days. He had a massive, explosive bowel movement, which broke his fever, so antibiotics evidently "killed" the virus "that no one could pin point where it came from. On 12/10/00 before discharge from the hospital the baby was feeling fine back to his normal self. A another doctor suggested that the antibiotics might be masking an infection of the bladder / kidneys, since the 1st urine at the ER was contaminated. The doctor suggested outpatient ultrasounds, and prescribed Cephalexin. The mother believes that the child's seizures on 12/6 and 12/7 were caused by a reaction to his MMR shot given on 11/29/00. She felt her son had been healthy since his first febrile seizure due to pneumonia in April of 2000. He had fevers, ear infections, colds, viruses, and fought them all off with and without antibiotics; without anymore seizures. As soon as he got his vaccinations on 11/29/00, he became sick, fever, vomiting, rapid forceful movements of jerking in his sleep, then the serious seizures. One thing the mother is certain of is that he was full of a virus / bacteria that no one can find an origin in his body or any existing infection present internally. His illness coincides with the adverse reactions date sheet symptoms.