Age: 1.02
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Erythema, Facial palsy, Full blood count normal, Gaze palsy, Musculoskeletal stiffness
Clinical narrative: 10 days after shot, patient had 4 seizures where she was staring, with the left side of her mouth drooping, left eye twitching, and left arm and leg stiffening.  Seizures were at 8:00 am, 12:00 noon, 2:30, and 6:00 pm, and were progressively getting worse.  We went to the Emergency Room and were hospitalzied. The CTC and MRI were both normal, but the EEG was abnormal.  She then got a red rash 14 days after the shot. We still have to repeat the EEG.  Doctors refuse to acknowledge that this could be an adverse reaction to the vaccine, even though the CDC reports that it can occur 1 in 3,000 cases (so I don't know the manufacturer of the vaccine becuase they won't tell me) 11/16/07-records received for DOS 10/10-10/12/07-DC DX: Partial complex seizure with an abnormal EEG. Day of admission had 4 episodes where she began to have left-sided facial droop with drooling and then her left eye rolled back. After initial episode 2 more with left upper extremity and left lower extremity extension.  Follow-up: Chronology of events for patient. Pt had not been sick a day in her life---no fever, no runny nose, not anything---until she had four seizures 10 days after her one-year shots. There is no family history of seizures and pt has not experience any head trauma. Below is a detailed chronology of events: 9/28/07 (Fri)-- 9:20 am. - Pt had her one year check-up and shots. Receives MMR, Hep A, Varicella (Chicken pox). 9/29/07 (Sat)-- Pt was throwing up when she woke up. She has a stomach bug. After about 6 hours, the vomiting stops. No diarrhea. I called the dr and they said the "bug" was going around. Assumed I picked it up in the dr office. The following evening I am sick with vomiting and diarrhea, and this passes in 24 hours. On Tuesday at about 3:00 am gets sick with vomiting, and this passes in about 8 hours. All week, everyone sleeps more than usual and eats less than normal. 10/3/07 (Wed) Pt starts cutting 2 new teeth. Slightly fussy. 10/7/07 (Sun) Pt is fussy. I give her TYLENOL. Seems to act normal before bed. 10/8/07 (Mon) 7:30 am - Pt wakes up around 7:30. She seems normal. I give her a bottle and take her back to my bed where she falls back asleep. At about 8:45 we wake back up. Pt has her first seizure. She sits up in bed, but is looking off, her left side of mouth is drooping, and she is drooling very badly. She just seems "not there", but snaps out of it in a minute or so. She is normal after that. We were not sure what it was at that time. 12:00 noon - Pt has another seizure essentially the same with the nanny. 2:30 - Pt has another seizure that started with the left eye twitching, the staring off to the left, left corner of the mouth drooping down, drooling, and also stiffening of left arm and leg. We take pt to see Dr. who refers us to the hospital for a CT scan. 3:45 - Pt at ER. Fever was 100 degrees when we checked in. 6:00 - Seizure in hospital. Same as before, but seizures are progressively getting worse as this one lasted longer and the nurse became concerned about her oxygen level. Nurse had her, so we did not see the complete seizure. 7:30 pm - CT Scan. Test showed no gross abnormalities. Pt was not put under for test, so the scan showed some movement. 8:00 pm - Anti-seizure meds given. Said it would make her sleepy, but had the opposite effect. Pt was wired, with leg kicking, jerking, thrashing around, and would not sleep. This continued until 5:00 am. Stayed in hospital. No fever. 10/9/07 (Tues) 10:00 am - EEG. Test showed abnormal activity in the left temporal lobe. Stayed in hospital. 10/10/07(Wed)11:00 am - Pt was put under with gas for MRI. MRI is normal. 6:00 pm - We check out of the hospital. Pt is obviously happy to be home and sleeps very well. 10/11/07(Thu) Pt seems agitated. Cries a lot, and does not like for me to pull her down or walk away from her. This behavior is not normal and pretty much continues through Tuesday the 16th. 10/12/07(Fri) 5:00 pm - Pt has a temperature between 99 and 100. I give her TYLENOL. 10/13/07(Sat) Pt seems agitated. In the evening I notice a rash all around her neck. The rash is very small pin-sized pink bumps. 10/14/07(Sun) Pt seems agitated. The rash is changing, in that the bumps are spreading apart, getting bigger, and darker red. Bumps are slightly raised and are moving down her trunk. 10/15/07(Mon)Pt seems agitated. The rash has moved down her arms and is also in her diaper area. We take her to see Dr. Diagnosed with a virus. 10/16/07(Tue) Pt seems to be somewhat back to normal. The rash is fading. She alternates with periods of "being normal" and periods of "being agitated". 10/17/07(Wed) Pt is pretty much back to normal. 10/22/07(Mon)Pt has a second EEG with Dr. The EEG is normal. Dr. said we will treat her seizure as a one-time event and just watch her. She has a prescription of DIASTAT in the event she has another seizure and it lasts over 5 minutes. Repeatitive seizures. She has had 9 seizure events, with the most recent one in July. It is unknown how much longer the seizures will last or if she will out grow them.