Age: 1.0
Sex: M
Vaccine: DTAPHEPBIP, FLUX, PNC, VARCEL
Symptoms: Blood test normal, Body temperature increased, Chest X-ray normal, Convulsion, Electroencephalogram normal
Clinical narrative: Patient had his 1 yr well-baby check-up on Friday, January 16, 2009 and everything checked out perfectly for him.  He was given his vaccinations of 2nd dose of Flu, Chicken Pox, and two others that I'm not sure of.  He seemed a little fussy on Friday evening and off and on through the weekend so we did give him tylenol before bed and to help with the soreness at the injection sites.  On Tuesday, January 20, 2009 he was his happy ol' self.  We decided to go out to dinner that evening so I woke patient from his late afternoon nap just before 6 p.m. and he felt warm so we went to dinner thinking we'd have him eat before we gave him any tylenol or motrin and while we were at dinner, he ate and then didn't want to eat anymore, snuggled with me for awhile and then wanted daddy.  While sitting on daddy's lap he fell forward and was completely limp, this happend just before 7 p.m.  His eyes started rolling back in his head and his breathing slowed and he started to seize.  We called 911 and he continued to seize and began to vomit while in the ambulance to the hospital seizing for between 10 and 15 minutes.  Once in the ER he layed on the bed with big tears and little or no noise.  They took his temp and he was 102.2.  After he came out of the seizure we noticed he had no movement in his right arm or leg and that lasted for nearly 2 hours.  The ER did blood work on him, urine tests, a chest x-ray with all coming back normal.  He was admitted overnight and they performed an EEG on him Wednesday morning which also came back normal so his Dr. felt it was most likely caused from the chicken pox vaccine.  We were discharged Wednesday evening around 7:30 p.m. and asked to bring patient in Friday morning at 8 a.m. to be rechecked.  He was rechecked and everything was normal except he continued to run a temp.  His doctor told us that he would probably end up with a rash within the next day or two and then we'd know for sure.  His fever stopped on Saturday evening and a rash began to appear Sunday.  I contacted his doctor this morning to let him know how patient was doing and his nurse asked me to bring patient in to look at the rash.  When his doctor looked him over he said it looked more like rosiolla rash than chicken pox but that he wouldn't recommend and 2nd chicken pox vaccine for patient.  The only medication given to patient while in the hospital and at home to keep his temp down was tylenol and motrin.  His doctor did prescribe Diastat in case he seized again.  The prescription cost $313.00. 3/3/09-records received for DOS 1/20/09-admitted because of febrile seizure that was complicated, received vaccines 5 days prior and was crabby that evening, awoke with temperature of 102 and was fussy and then had a generalized tonic/clonic seizure, continued to arch and have right-sided weakness, stayed ictal for about half an hour then postictally and 3-4 hours before lost Todd's paralysis resolving .Assessment:complicated febrile seizure possibly exacerbated by immunization.