Age: 1.2
Sex: F
Vaccine: HBHEPB, MMR, VARCEL, HBHEPB, MMR, VARCEL, HBHEPB, MMR, PNC, VARCEL
Symptoms: Deafness, Pyrexia, Rash maculo-papular, Speech disorder, Urticaria
Clinical narrative: Deafness. The annual follow up sttes this child continued to experience profound hearing loss and had a cochlear implant in September of 2002. (I'm still unsure this was related to no other cause was found and it is a listed adverse effect...)  Annual follow up report states: "This child continued to experience profound hearing loss and had a cochlear implant in September of 2002.  (I"m still unsure this was related but no other cause was found and it is a listed adverse effect.) The follow up received on 9/4/02 states, "this is a follow up to the conversation we had earlier today: due to 25 meningitis cases reported following cochlear implant surgeries worldwide, less than three weeks before pt's scheduled surgery, the clinic sends us a letter stating the FDA recommendation to have cochlear implant recipients vaccinated before surgery as a precaution. Pnu-Imune 23 or Pneumovax 23 was the only additional vaccine listed that pt needed before the surgery, so, containing pt's history with vaccines, I did some research and consulted with Dr. to see what would be best in pt's case. Thisis what we learned from a review of pt's records: 1) Pt had only two reported fevers in her first eight months of life. Both fevers occurred seven (or eight) days after her 2 and 4 month vaccinations. You can almost set a watch on when the fever occurred after the vaccination. No fever was recorded after her 6 month vaccination. 2) Pt's 2 and 4 month vaccinations consisted of of DTaP (containing Thimerosal)and Comvax. Pt's 6 month vaccination consisted of thimerosal free DTaP and no Comvax was administered. Pt's 2 and 4 month vaccines were administered by one person while her 6 month vaccines were administered by another. 3) Pt had a rash following her 4 month vaccines (thought to be diaper rash) which when the redness cleared, left a darkened pigmentation from her upper left thigh to her lower buttocks. The pigmentation has lightened up over time but is still visible to this day. 4) Pt had Roseola diagnosed by the pediatrician's office over the phone but  no record exists other than our recollection and mother's entry in pt's baby book at 16 months. Our decision to go with the Pneumovax23 over the Pnu-Imune23 is based on this information. Now all we need is someone who ca administer it safely and correctly. I hope this gives you a clearer picture of what components of the vaccines could be a problem in my daughter's case." The follow up received on 9/23/02 states, "the surgery was 'textbook' according to pt's surgeon. Pt's cochles was perfectly formed and appeared in normal condition with the implant slipping in without a problem. The barriers were intact and al her features were as they should be according to Dr.  I asked Dr if they could see the hair cells in her cochles and he said they did not have a powerful enouogh microscope to see at that level. The additional vaccine, Pneumovax23, recommended by the FDA before the surgery did prompt a febrile reaction on 9/11/02, the 2th day after the shot. Pt came down with what looked like a cold at first. She had a runny nose and watery eyes. That morning she did not eat her breakfast and she didn't eat her lunch as well. Seh was not her usual self. She was lethargic and she developed a fever of 101 deg F at 1pm. She hadn't been sick with fever since she had the flu back in March so it coming 12 days after the shot was causes for convern. With Tylenol, pt's fever was lowered that afternoon, and she began to come back to being herself, although somewhat tired, seh ate her dinner and had a good evening with grandmother and a good night's sleep. The fever was gone as quick as it came and by the pediatrician's visit the next morning, no ear, nose, or throat infections were seen and her lungs were clear, although she was still having a runny nose but less than the day before. Another thing the pediatrician got to see was the darkened pigmentation on pt's lower bottom left by a rash developed after her 4 month