Age: 9.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Drooling, Ear pain, Eyelid disorder, Eyelid ptosis, Hyperaemia
Clinical narrative: A spontaneous report of serious event of Bell's palsy and non-serious event of left-sided facial swelling and earache has been received from a healthcare professional concerning a nine-year-old male, subsequent to H1N1, intranasal. The patient had no relevant medical history. The patient had taken no concomitant medications. The patient never had a reaction to a vaccine. The patient received a first dose of H1N1, intranasal on 20-Nov-2009 for H1N1 influenza vaccination. On 25-Nov-2009 the patient complained of an earache and on 26-Nov-2009 the patients side of the face began puffing up an he couldn't move his cheeks or eyebrows. He was taken to Doc's On-Call Urgent Care facility and at the time was prescribed prednisone in 10 mg tablets, and was instructed to take one and half tablets by mouth, twice daily, for five days for what was considered to be Bell's Palsy. On 28-Nov-2009, the patient woke up in the morning with inability to raise left side of face with smile. The patient did not have pain, drooling and the left ear was hurting some. It was found that the patient had never developed or experienced a sore throat, cough, wheezing, sneezing, fever, or any gastrointestinal disorders such a diarrhea. The vital signs were found as follows temperature - 97.4 F, weight - 75.8 lb, heart rate - 88, respiration - 16. The physical examination revealed left eye lid lag and left conjunctiva revealed hyperemia. The patient was unable to raise left side of mouth with smile and was also unable to raise left eyebrow. The patient had incomplete and reduced frequency of blinking of left eye. Other treatment information was provided to the patient's mother by the Doc's On-Call Clinic, to keep the patient's left eye lubricated. On 01-Dec-2009, while still on the prednisone oral tablets, the child was taken to be seen by his regular pediatrician and the child was never hospitalized and the physician saw no trace of the facial swelling and earache. There was no swelling of either eyelids and no inner ear swelling was seen. There was no difficulty in chewing, swallowing and speaking, seeing, smelling or breathing through mouth or nose. The vital signs were found as follows temperature - 98.1 F oral, weight - 75.4 lb, heart rate - 80, respiration - 16. The physical examination revealed face symmetric and appeared normal at rest. Mother reported that the droopy eyelid was the last thing to clear up. He did not drool and the sense of feeling in his face gradually returned beginning from lower part of his face and moving upward at the time of report. The outcome for the reported adverse events left-sided facial swelling and earache was resolved, on 01-Dec-2009 and the outcome of Bell's palsy was resolved on 16-Dec-2009. Additional information was received on 29-Dec-2009 and incorporated into the narrative: reporter, medical history, concomitant medication, new adverse event, treatment given and outcome of the event. Additional information was received on 18-Jan-2010 and incorporated into the narrative: information about adverse events and other treatment information. Additional information was received on 03-Feb-2010 and incorporated into the narrative: information about adverse events and its outcome. Other additional information received: reported to VAERS. Additional information was received on 17-Feb-2010 and incorporated into the narrative: information about Bell's palsy outcome as resolved, cessation date. Other additional information received regarding droopy eyelid as resolved.