Age: 1.0
Sex: M
Vaccine: MMRV
Symptoms: Diarrhoea, Ear infection, Eczema, Irritability, Lethargy
Clinical narrative: 11/16/16- Patient had his first round of MMR and Varicella Vaccines today. He was a little crankier than he usually is with his vaccines. He was cranky for about two days then he seemed fine afterwards. 11/18/16- Patient started having awful diarrhea like never before and he had an awful diaper rash that wouldn't go away. It lasted for about two-three weeks. We cut back on fiber-rich foods for him and watered his milk down just a little here and there. We tried A&D treatment, we tried the nystatin the doctor prescribed-it didn't seem to be helping at the time, it got worse actually. Finally about four or five days after using the Nystatin we decided to give him a baking soda bath then that night we used Aquaphor. His rash was about 80% better the next morning, then completely cleared up within that week. His diarrhea had gotten better before we started using the Nystatin. He was having cold like symptoms three days after his vaccines. He had a runny and stuffy nose, sneezing, mucus and he wouldn't nap at all during the day and he was up most of the night crying over a course of days. His runny and stuffy nose cleared up about a week and a half after it started. He was still having trouble sleeping at night and he was cranky all day. 12/8/16-Patient's runny nose and stuffy nose came back with a lot of mucus built up - I could hear and feel wheezing in his cheat when he would breathe at night - along with sneezing and coughing. His eczema is spreading to his stomach, a little bit on his face it seems as well. He has also been having low grade fevers on and off since 11/18/16 and currently having low grade fevers in the middle of the night as of 12/10/16. It is 1/9/17 as of now and it has been two months since his MMR and Varicella Vaccinations and he has had a long list of symptoms on and off again several times since then, before the vaccinations he was the perfect picture of health with no issues like this ever before. He will have a stuffy/runny nose, sneezing, coughing, wheezing, mucus, diarrhea, severe diaper rash, constipation, inconsolable at times, crying and screaming most nights and during the day, eczema spreading everywhere, lack of appetite, cries when being fed, cries when wakes up from naps. You can just tell he is not himself, he used to be a very happy and healthy baby and hardly ever cried before the MMR vaccine. Now he's upset all the time and new symptoms keep occurring even 2 months after the MMR vaccine. He's also having these reactions at certain times if he doesn't eat every 2 hours, he will start crying and screaming uncontrollably and I can't calm him down and he starts shaking and he looks very pale and a little bit lethargic (even after a nap) but when I finally get him to eat something he will feel better after 20 minutes. I'm not sure if that is MMR related but felt the need to note that here. He also had an ear infection and we went to his pediatrician on December 13th 2016 (his regular doctor was out sick so there was a replacement doctor to see patient at that time) he prescribed antibiotics for patient and he took all of them as directed and it seems like his ear is still hurting him. I'm taking him to the doctor again this week to see if he still has an ear infection.