Sex: M
Vaccine: HEP
Symptoms: Full blood count, Infrequent bowel movements, Irritability, Rash, Rash papular
Clinical narrative: Information has been received from a physician via medical records concerning a 7 day old male who on 06-NOV-2008 was vaccinated with a first dose of Hep B (manufacturer unknown). On 06-NOV-08 the baby was circumcised. On 07-NOV-2008 the baby was 3 days old, and the mother reported that she was unsure if the baby had urinated and had concerns. The baby was questionably crying with urination. The mother did some nursing but wanted to change to ENFAMIL for convenience. The patient's neonatal bilirubin was 12.6 mg/dL. On 10-NOV-2008 a laboratory test was performed and the result indicated that Neonatal bilirubin 9.5 ug/dl. On 18-NOV-2008 the baby was reportedly to have had no bowel movement in the past 24 hours, no emesis or fever. The baby had wet diapers 4-5 per day. The baby was breastfed with ENFAMIL FE with occasional breastfeeds. He was diagnosed with constipation, reducible umbilical granuloma/hernia and weight gain. Pediatric glyceric supplement and silver nitrate were applied to the umbilical. On 11-DEC-2008 the mother complained the baby congested for 2 weeks (approximately 27-NOV-2008) and experienced rash for 2 weeks on and off, erythema dry rash on cheek and neck. The baby was assessed as upper respiratory infection and atopic dermatitis. The plan was hydrocortisone 2.5% cream everyday to face and back of neck with follow up in 5 days. On 16-DEC-2008 the mother complained that the baby was gassy, irritable, was crying, straightening like a board. Dry rash was noticed on his face. The assessment was formula intolerance. "LACROPUE" was prescribed. On 22-DEC-2008 the patient was hospitalized due to respiratory syncytial virus bronchiolitis. On 26-DEC-2008 the patient was discharged. On 29-DEC-2009 generalized papular rash was noticed. The baby still coughed but no fever. The assessment was upper respiratory infection, formula intolerance and rash. "NEO DM" was given. On 05-JAN-2009 the baby was fed well, taking 4 OZ every 3 hours. The baby still coughed, the sign and symptoms of upper respiratory infection had been last for 1 month. The assessment was chronic rhinitis. COMOX and RONDEC DM were given. On 15-JAN-2009 the baby was vaccinated with a dose of Hep B (manufacturer unknown), a dose of ROTATEQ, a dose of PENTACEL and a dose of PREVNAR. The patient's rhinitis was resolving. On 02-FEB-2009 the baby presented with scalp dry, flakes and hair were falling out. The assessment was atopic dermatitis. HC 2.5% was prescribed. On 19-Mar-2009 the baby presented with constipation, hard stools for 1-2 weeks, eczema which was treated with AVEENO baths. The baby was diagnosed with wheezing, eczema and constipation. The baby was given PULMICORT, LOCOID and ELIDEL. At the same day, the baby was vaccinated with a dose of ROTATEQ, a dose of PENTACEL and a dose of PREVNAR. 27-MAR-2009 the baby was still wheezing daily with short of breath and coughed "some". The scalp was much improved, but there was still dry eruption with papules. The treatment was continued. On 01-APR-2009 LOCOID and HCTZ were discontinued. Other medications were given to treat bronchiolitis. 08-APR-2009 the baby still coughed and congested but no fever. CBC was performed but no result was provided. Chest X-ray was scheduled and ZITHROMAX was given. 09-APR-2009 chest X-ray was negative and albuterol was given. On 14-APR-2009 eczema was still bad in some areas, such as neck and arms. Treatment with PULMICORT and albuterol were changed to twice a day. On 11-JUN-2009 the baby was vaccinated with a dose of Hep B (manufacturer unknown), a dose of ROTATEQ, a dose of PENTACEL and a dose of PREVNAR. No further information is available. All available medical records will be provided upon request.