Age: 4.0
Sex: U
Vaccine: DTAPIPV, FLU3, HIBV, MMR, PNC13, VARCEL
Symptoms: Abasia
Clinical narrative: Called above tel # spoke with Aunt 6/21/11. Not know symptoms, after shots given 6/13/11, child stay sitting down, then left. Not know what happen until child was brought on 6-17-11. She does know that child was taken where stated child had no swollen to brain. Look for hospital to be admitted. Rejected, due to not having proper equipment. Hospital accepted her. Not able to walk. No able to get in touch with mother. Left message with niece. On 6-13-11 around 2 PM. Aunt and father brought 3 children for immunization. Check shot cards and inform father what they needed. Only flu shot and patient 4yr old booster and flu shot.  Explained that she needed 4th HIBERIX because 3rd was given at 4 1/2 months & had no booster. Explain about PCV 13. She has receive 4 PCV 7 but last given on 6/2/8. New PCV 13 was out on 5-2010 and needed to be given with 13 virus instead of 7. Explain that all 3 needed influenza. Father stated that they receive all ready one several months back, but not written on card, inform him that if its not written, then it was not given but this one would be counted as booster & he could go back to write date so every year, only one shot could be receive. Stated not to give flu to patient because she had developed night fever & taken to DR. in the past. Asked about if she had gotten swollen bumps (hives) stated no, asked about convulsions, stated no, asked about shortness of breath stated no. Any other symptoms - stated no. Reassure him that probably it wasn't an allergic-reaction. Assessment for all 3. Ask if they could eat eggs - stated yes. Ask about any allergic reaction to antibiotic - stated No. Ask about any high fever leading to. Informed him that where the injection is given, the child might develop some swollen & become warm, but to give TYLENOL & apply cold compressors, & to move a lot arms or legs for better circulation for vaccine. Give how much TYLENOL each child should receive. Stated to father if syrup TYLENOL has 100 ml/tsp give 2 1/2 tsp to 7yr., 1 1/2 tsp to 4yr. & 1 tsp to 2 1/2 yr old. Verbalized understanding. 6-21-11 Called, a lady answer. Ask about, stated does not live there. Introduce myself & inform her that I needed to speak with her related to patient, so an immunization report could be done. She volunteer in stating that child was hospitalized & Mom was there. Ask what happen, stated that probably child had receive many immunizations. Ask her if she knew when child was hospitalized, on Friday 6-17-11, child had been taken & were inform that child had no inflammation to brain & discharge. Went to hospital & rejected due to not having proper equipment. Accepted at hospital where she is hospitalized. Ask aunt, what happen on Monday after child receive immunization, she stated that child stay sitting down until they left. Ask if TYLENOL was given and stated No. Ask about where mother could be reach and aunt stated that the same information that she had given would be the same. Aunt gave two #s, who is sister to child's mother, who is daughter to sister. First # didn't respond and second # due to speak with a baby. Ask about childs' mother, she ask why, informed - needed to speak with her about child to do an immunization report about her condition. She ask if I work at clinic, stated yes. Then she stated that she and mother had come to clinic for assistance to get a letter to mother due to her Visa being expired and no one was able to help her. A telephone number was provided to call & spoke with, who gave no assistance. Stated there was no communication and that she would pass the message to child's mother. Informed her that she could get the letter from the hospital where child is. Stated, she had and now child is unable to walk.