Age: 0.15
Sex: M
Vaccine: DTAPIPVHIB, PNC
Symptoms: Endotracheal intubation, Irritability, Mechanical ventilation, Respiratory arrest, Retinal haemorrhage
Clinical narrative: On 1-4-09 patient had Hep B Vaccine in NICU and also this day he had lost weight as he had on several days while in the hospital, he was released on 1-5-09 after several complications. On 1-5-09 he stopped breathing but started so we did not take him to the hospital for his doctor told us while in the NICU that periodic breathing was normal for premature children. On 1-15-09 the same NICU Dr's nurse practitioner administered a series of 5 vaccines including the DTAP that has been used to cause inflammation of the brain. This was on the same day that he was being treated for a 2nd consecutive visit for thrush. They actually called in the prescription in the wrong twins name and I had to have it corrected for the "right" chart was in the wrong twins folder. This Dr. was in 3 positions as the NICU Doctor, The Pediatrics Doctor and the Medical Examiner (how convenient is this). Other Dr. saw him on 1-15-09 for current Dr. wasn't in the office this day. We feel he shouldn't have been given 2 month old vaccines for 3 reasons: One he was losing weight and had thrush, secondly, He was 5 days shy of being legally 2 months old and since he was the smaller of discordant twins born 8 weeks early due to low heart rate and fear of both identical twins boys dying they induced labor he wasn't physically 2 months old. 15 days later on 1-30-09 he stopped breathing while I was away. I returned home right after the ambulance and emergency response team had arrived. I thought they had the wrong address but then my significant other (patient's Mother) came out of the house with patient. She indicated he was fussy and she placed him on the bed after changing his diaper to go make a bottle for him. When she returned to the room she indicates he was gasping for air. She panicked and called her mother and there wasn't an answer, she then reached a friend who advised to call 911. She says she called 911 and they walked her thru CPR efforts. The EMT arrived and right after this I arrived. The police officer took the child and ran to the ambulance. After arriving to the hospital it seemed patient was more stable. The mother arrived before I did and the nurse gave her patient's shirt. I had a blood stain on it and when asked the nurse indicated it was from the tube the EMT had to shove in his throat as part of the CPR efforts. He was given Sodium Bicarbonate among other medications. He seemed to have been determined as "more stable". Hours later the same Dr. indicated that things did not look good and was ready to pronounce brain death but waited until the following day. An organ donor organization was brought in and he was given medication to preserve the body. It seemed this was more of the process than was keeping him alive. At one point I heard the nurse ask the Dr "20"? I am not sure what medication measurement was being determined but Dr. said, "No, bump it up to 80" The nurse looked at him as if this was unusual procedure that she was accustomed to in this situation. Before being pronounced brain dead he started having seizure activity. At first Drs. were indicating Seizure activity but later recanted this as being possible Clonus activity. Dr. said the best case scenario would be that he would be in a vegetative state and most likely be blind. It was determined that he didn't have any reflex response and he was kept on a ventilator for he wasn't breathing voluntarily but his heart was beating all by itself. I am not sure if when the police officer ran from our house and down the alley to the ambulance with patient and/or the CPR efforts given by EMT in additon to too much Sodium Bicarbonate for such a small fragile child could have worsened the retinal and/or subdural bleeding that was caused by the residual and gradual effects of all the medications and series of vaccines or not. This child also was malnutritioned due to sharing the same Placenta as his recipient discordant twins. Patient's cord was not attached to the Placenta but rather a membrane that was attached to the Placenta. We also lived in an old house that contains lead and the old water pipes probably contained metals as well. He became anemic in the NICU after a "PIC Line" insertion. He also had Heparin flushes and possibly Heparin coated Catheter. He was also given a more dangerous diuretic in combination of other diuretcis. He was on Aminophylline that most doctors don't use due to safer and more effective newer drugs being available and it indicates in the warnings it should be used at the same time as other medications used for the same purpose. He also on at least 2 occassions in the NICU had his IV placed in his forehead which could alone in such a small fragile child cause or aggrevate bleeding. It seems possible that all of the diuretics were being given to reduce the fluids and swelling of his head. Drs' NICU medical records indicate one day his head was Dolicephelic. He also indicates one day the sutures were overriding and the next day after his head grew 1 CM his sutures were seperated. This fragile sickly child ONLY weighed 2 lbs 13 ounces compared to his IDENTICAL twin brother's weight of 4 lbs. At the time of patient's death he weighed 3 pounds less than his larger and healthier brother. His mother had a very small birth canal and cervix. In addition of patient being born 8 weeks early the mother went to the hospital 6 weeks earlier for she had an infection and was 2 CM dialated. She was given several medications to stop her from going into labor, given antibiotics to fight off infections and then 6 weeks later they induced labor early for thought both babies would die due to patient's VERY low heart rate....they indicate in identical twin boys that if one passes they normally both pass due to their heart rates being regulated. His head grew more front to back than side to side (left to right) and up and down. He had a red mark in the NICU in a picture we took on 12-14-09 and the mark would go away and reappear. This same mark appeared again on 1-29-09..one day before the 911 call. The only possible conclusion is that either the vaccines, medical issues, medical neglect or a combination of all of these killed our son. After days on life support, the mother finally decided, after Dr. and the hospital staff's insistance, to discontinue the ventilator. He passed away on 2-8-09 and was pronounced brain dead on 1-31-09.  6/10/09 Hospital records, discharge summary received DOS 1/30/09 to 1/31/09. FINAL DIAGNOSIS: Subdural/subarachnoid hemorrhage, Cerebral edema, Cardiorespiratory arrest Post immunization: Irritable for several day, became pale, dusky, spasmotic respiratory efforts. Unresponsive. Hypotonic. Placed on mechanical ventilation in ED, episodes of hypertension and hypotension, seizure activity, clonic movements, pupils fixed and dilated. Abdomen distended. Reddening over left eyelid. Anterior fontanel tense and full. No spontaneous respiratory efforts. Declared brain dead. Edematous. Life support discontinued.