Age: 1.25
Sex: M
Vaccine: MMR
Symptoms: Respiratory disorder, Speech disorder
Clinical narrative: The pt had 6 seizures, after MMR shot, and stopped breathing after the 1st seizure. Gave CPR and taken to the hospital. He has severe speech, language and reading learning disabilities. He has been dx'd as having a brain injury when he was very young. It could have been from a lack of oxygen in his brain after seizures. Doc 211185 states the following: due to lack of oxygen, seizures, he gets brain injury. Annual follow up states patient had a brain injury due to lack of oxygen after seizures. Patient had 6 febrile seizures.  Follow up on 03/19/2002: "01/12/2001: I seen MD again.  I had him do a blood test.  When I seen MD in 07/2000, he found I had a very high amount of inflammation.  MD blood tests shows the same, MD wants to keep this updated.  01/22/2001: MD confirms that I have a modeate sleep disorder.  She recommended to be fitted with a face mask.  She will set up a time to fite me(Feb. 16).  01/22/2001: Midmorning I feel like my chest is being squashed.  By noon I am having some pain in my chest also my vision is blurred at times.  I laid down for a while, when I awoke the pain was getting worse.  I would be in the hospital for 3 days doing tests.  I did a stress test, echograph, and x-rays.  MD said that my heart looks ok and there is no blockage in arteries.  Blurred vision may have been flu.  Pain in chest was stress.  Drs. will change my medication and will do a follow up.  02/14/2001: I am still having a lot of pain in buttocks.  MD wants me to try water therapy.  I will do this 3 days per week.  During these months a have continue ultrasound with MD 2 times per week.  02/19/2001: I called Md and updated him.  He suggested taht I try Clindamycin and Quinine for 15 days if I don't feel better then stop.  I felt no change.  03/16/2001: I returned to MD for a followup.  My blood pressure checked ok.  I will see him in a month.  03/30/2001: I see Md, I feel that I am getting worse.  Sometimes the pain gets real bad, it brings tears to my eyes!  MD suggests that I try Prednisone for only 5 days, if I see a remarkable change then we may continue, if not stop.  After 5 days I felt no different.  04/04/2001: I called Md the pain is real bad after my water therapy.  I don't think I can do this anymore.  MD agrees, he wants me to have another MRI to see if there is something wrong.  MD also will make an appointment with the pain center.  04/15/2001: As I type this I have a lot of pain in buttocks.  My forearms, and shoulders still hurt.  When I move my fingers I can feel the tendons pull in my forearms, it feels like a sunburn on the inside.  I have very sharp pains in fingers as well as my toes.  04/16/2001: MD wants another MRI.  Nothing noted.  04/18/2001: Went to the Pain center to see MD about pain.  He stuggest doing a nerve block in the sacrum area.  He will do S1, and S2.  If this helps, he then will do a Radio Frequency of S1 and S2.  04/20/2001: Returned to MD for a follow up of pain center.  05/02/2001: Went to pain center for nerve block of S1, S2.  This procedure hurt so bad it made tears in my eyes.  After 30 min I could sit upright with no pain.  MD will follow up with a nerve pulse in two weeks.  05/16/2001: MD dose a nerve pulse on S1, S2.  This also hurts very bad.  The following next 8 days would be hell, I hurt so bad I spent a lot of days in bed and taking pain pills.  This did help with the pain down my left leg, but I still had a lot of pain when sitting.  05/30/2001: Pain center for nerve block of S1, S2 and S3.  This was again very painful.  06/20/2001: pain center for nerve block S3, S4, S5.  Painful!  07/13/2001: Pain center for pulse of S3, S4, S5.  08/08/2001: Talked with MD about what we have done and I am not feeling that much better.  MD wants to increase voltage when pulsing, but there may be some risk will have to sign forms.  Also may have a pacemaker implanted.  I will think about this.  09/05/2001: I talked to MD about what MD had said to me and we both agree no to have this done.  MD will start an increase of Neurontin.  This may help the pain.  09/07/2001: I have started seeing Md again.  She will start ultrasound on sacrum area to help with pain.  09/10/2001: The procedure that I have done with the pain clinic are painful.  The pain stays with me at least 8 days after the injections.  I have done this 4 times.  To date, I am not feeling any better, the pain in my arms, shoulders and feet seem to get getting worse.  Especially if I use them frequently.  I have also noticed that my ring and small fingers go numb at times when using hand tools.  10/11/2001: Md wants to further increase Neurontin.  10/15/2001: met with MD to go over my disability.  We had a nice conversation.  I told her that I had applied for SSI and that it bothered me, she told me to just continue what I have been doing.  11/05/2001: I had a blood sample sent to MD lab.  They will be testing my serum for antibodies to B. Burgdorfer1.  Results will be sent to MD.  11/27/2001: Did a followup with Md she wants me to keep increasing the Neurontin, for it is helping with pain.  12/12/2001: I have increased the neurontin to 800mgs three times a day then it hit me really hard.  I had real bad dreams and shakes with blurred vision and very tired.  I would back off the dosage to 400mgs.  12/19/2001: I have ahd some real bad days with pain over my whole body.  This would happen several times in the rest of Dec.  In the months of January and Feb., came a lot of pain and depression.  MD's were treating me for arthritis.  I had never had arthritis and could not believe that disease would attack me that quick.  I asked for a blood test for Lyme disease.  The first test showed positive, 2nd test was negative.  First test was showing vaccine shots.  02/07/2000:  MD refers me to a spine Md to help with pain.  I saw MD, he looked over MRI's and CT scan.  He saw nothing wrong.  Md said he had never did a coccyx removal and had no suggestions what to do.  Maybe time will help.   02/15/2000: Start ultrasound and exercises.  Ultrasound helps with muscle spasms.  I have ultrasound done two times per week and still continuing as of 10/2000.  02/18/2000: Pain in joints is bad I can barely get out of bed.  Also when bending down I can barely getup.  I am so tired all the time, some days all I do is lay around, the pain awakens me several times at night.  MD puts me on anitripyline 25mg, after 2 weeks I start resting a little better.  Pain in coccyx, and knees still very intense.  03/15/2000: Incision splits at top, MD may have to reopen, infection?  03/16/2000: MD stop the exercising should heal ok.  He sees no infection.  03/25/2000: I am so worried about getting infection that shingles have developed.  MD injects Depo Medrol 80mg, continue with ultrasound and medication.  04/03/2000: Started back to work.  Pain gets real bad from setting in car.  Stopped work after 3 days.  04/14/2000: MD refers me to pain center.  MD suggests trying tens unit.  If that doesn't help will try injections.  Tens unit helped a little.  05/2000: Read an article about lyme disease, people should not take vaccine.  REad second article in newspaper on LD also says avoid vaccine.  I called Lyme disease support network, we had a very nice talk.  She recommended that I make an appointment to see MD.  MD specializes in Lyme disease.  07/01/2000: I am awaiting to see MD.  I still have a lot of pain on coccyx area.  My hips, knees, and elbows still bother me especially when I rest in the evenings.  I can hardly walk at times.  07/03/2000: I seen MD, he talked with me and also exammed me.  He said that it seems probable that I had lyme disease.  They took blood tests, I was put on Tetracycline tablets.  08/01/2000: Results from blood test confirm that I have Lyme disease.  Next appointment with MD 08/21/2000.  08/02/2000: I still have a lot of pain in lower back (tailbone). I cannot sit in an upright position.  I cannot lay on either of my sides for any length of time, spasms return when doing so.  I can rest only lying on stomach.  When stooping down I can barely get up.  My knees just don't have any strength.  My hips still hurt when walking, especially climbing stairs, the pain goes down the back of my legs making walking difficult.  My elbows and forearms hurt badly after doing activities causing no strength in my grip.  In evenings when resting my arms hurt, including my joints in fingers.  Swelling is also in fingers.  I get lightheade when getting up, and my heart beats very hard after going to sleep, it awakens me.  MD requisted taht I wear a heart monitor for 24 hours.  The results nothing abnormal.  In the last few weeks, I feel sick in my stomach.  late mornings and evenings.  08/21/2000: I went to see MD.  He changed my medication I was started in flagyl and zethromax.  He will call to see how this will work.  09/2000: I have applied for SSI disability, this was very upsetting for me, it felt that I would never be the same again.  09/2000: I read an article on Lyme vaccine.  This article talks about people who have a HLA-DR4+ gene are at a greater risk of getting real sick.  I had MD check my genetics, the test showed positive that I have this gene.  10/09/2000: MD called to see how I was doing.  He wants me to try Zithromax for 2 weeks, then call him.  10/15/2000: I was referred to MD by MD to see if I had arthritis.  MD talked to me about my condition.  He questioned about Lyme disease and having a reaction to Lymerix injections.  He requested a blood test for arhritas.  10/22/2000: I have tried several antibiotics from MD with no results.  I have a phone conversation setup with MD on 10/23 to see how I am feeling.  Pain in buttocks is still intense after setting.  Pain in arms (fingers to shoulders) is so bad at times I cannot hardly take it no longer.  Some days I cannot even think straight, I just take pain pills and go to bed.  In mornings my fingers are very stiff, my forearms hurt when extending my fingers.  My knees and feet are very hard to move when I get out of bed.  I try to be active everyday as to take my mind off my pains, but as soon as I try to rest the pain comes on real hard at times.  10/23/2000: Md called to see how things are doing.  The medication I am taking is not working.  He now wants me to combine the two medications and try it a month for results.  I will start taking Flagyl and Zithromax together.  10/27/2000: I seen MD again for my monthly visit.  I told him about the pain in my arms and shoulers.  He suggested that I stop all medication at once.  I could possibly be having a reaction to the medicine.  See him in 30 days.  11/03/2000: I returened to MD, he found no arthritis in my body.  He recommended water therapy, also I may have a sleep disorder.  11/07/2000: I went to see my eye doctor.  for a check up.  MD found some spots on my eyeballs.  He said it could be lymeeye or the antibiotics, we should check it every month to see how it is progressing.  11/29/2000: I return to MD for monthly visit.  MD wants me to see a sleep doctor.  He recomments MD.  12/15/2000: I returened to MD to check on spots on my eye.  Md said they :were a little smaller but we still need to stay on top of it.  See him in a month.  12/17/2000: I went to the sleepdisorder clinic for a test.  Will see Md for results.  04/01/1999: health good.  04/28/1999: First Lyme vaccine injection: my hip was real sore after.  05/1-8/1999: While i was turkey hunting I sat on the ground making my tailbone area very sore.  05/28/1999: Second lyme vaccine injection: I made a comment to the nurse that I hope this injection does not hurt like the first.  06/mid 1999: Tail bone getting worse, also starting to have a lot of pain in hip joints, hard to walk up stairs or pushing lawn mower.  07/09/1999: Tailbone is getting very sore, when sitting my hips are also hurting when walking I asked MD if I was having a reaction to the injections.  He said no.  Probably just inflammation.  I was given Relafen tablets.  07/15/1999: The pain is so intense in tailbone area, and my hips that I could not stand to drive to work.  This would be my last day I would work.  07/20/1999: