Sex: M
Vaccine: HEP, HIBV, PNC
Symptoms: Nervous system disorder, Otitis media, Psychomotor hyperactivity, Rash, Speech disorder
Clinical narrative: Information has been received regarding a case in litigation concerning a minor male pt who was exposed to high levels of mercury from thimerosal through exposure to unspecified products. In additional, the pt was exposed to mercury from continually inhaling and ingesting industry mercury emissions from fossil fuel driven power plants. The mercury included in thimerosal laden products and power plant emissions together caused the pt to suffer from serious and permanent neurological injuries. The pt was exposed to airborne mercury vapor and mercury through food chain. The exposure to airborne mercury in the environment through inhalation, the food chain, and other sources contributed to the cumulative mercury toxicity and was a substantial factor in causing his neurological damage. it was noted that the pt had a heightened vulnerability to suffer neurological injuries from industrial mercury as a direct result of thimerosal exposure. As a direct and proximate cause of the toxic mercury exposure to  the pt, minor male was caused to suffer serious and permanent neurological damage which included past and future mental, intellectual, development and neurological incapacity and associated learning disabilities, disorders and impairments. Follow up information received from medical records revealed the following on 4/10/1999, the infant who was born full term, via vaginal delivery, weight 8lb 3oz at birth, Apgar scores were reported as good. The infant was vaccianted on 4/10/1999 with the first dose of hepatitis B (manufacturer unk). During the mother's pregnancy at 6 months gestation she was diagnosed with a bacterial vaginal infection that was initially misdiagnosed was treated as a fungal infection. The child had no known allergies, however did have some food dislikes which caused trouble in his early childhood with formula and certain foods. There were no concomitant therapies. Family history included that the pts father committed suicide (in Oct 2003) and suffered from a mood disorder major depression, including  difficulties in early childhood with temper tantrums,  aggression and agitation. Also at age 18-19 and an unspecified head injury, with loss of consciousness, and was emotionally and physically abusive to his wife (patients mother). The mother reported that the children were not victims of emotional or physical abuse by the father. It was also reported that the pts paternal family included his paternal grandmother had significant mood problems and numerous hospitalizations. Initially the child was quite clingy, his developmental milestones were within normal limits. He stood at 9-10 months and started walking at 11 months. Mother reported that at one year of age he was hyperactive impulsive with frequent severe temper tantrums and a low frustration tolerance, all of which increased at times of stimulation. It was reported that these behaviors became more severe as he grew. He responded well to structure, had problems with transitions, some minor hand flapping movements and solitary play as well as significant difficulty with speech. At age 2 1/2 he began speech therapy (which has continued to present for articulation problems). At age 4 years 8 months the child was diagnosed with Pervasive developmental disorder. Occupational therapy evaluation was recommended and speech and language therapy were recommended to continue. The parents were educated in Behavioral modification. On 8/18/06 the pt was admitted to a behavioral facility for medication and behavioral therapy modification and discharged with a diagnosis of Bipolar disorder, anxiety disorder, Pervasive developmental disorder, Encopresis, nocturnal enuresis. Other adverse events reported on 9/12/06, included 1/02/01, 3/13/2001, 4/1/2001, 5/22/2001 URI, 9/24/01 rash post varicella vaccine, 1/2/01, 12/16/02, 2/6/03, 4/4/03 otitis media and 12/16/02 lymphadenopathy. No further information is available. All available medical records will be provided upon request. (OMIC).