Age: 0.34
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PPV
Symptoms: Crying, Cyanosis, Feeding disorder of infancy or early childhood, Injection site erythema, Injection site inflammation
Clinical narrative: Patient was bubbly and playful at her 4 month well baby check up - She was 12 lbs and 24 1/2 inches long. She was even giving her doctor smiles left and right and was doing great overall while being poked and prodded...she did not even cry or whine once.   However, within 4 hours of getting her shots she was a completely different baby. She was screaming a very high pitched shrill cry and nothing we could do would comfort her. Actually, the more we tried the worse it got because she acted as though it hurt her to just be touched. She turned purple when I tried changing her diaper because she was screaming so hard and refused to eat.                                                                                          There was no eye contact at all from her and she seemed to get more upset when we tried to comfort her. I had to resort to taking her clothes and daiper off to get her to calm down a little, but the shrill cry continued nonstop.   After about 45 minutes of this I called the advise nurse at Kaiser. They told us to give her more Tylenol and to put cold rags on her legs and to call back in 30 minutes if she was not better. The cold rags seemed to calm her down, so I did not call back. She sort of just did not want us to touch her so I gave her a warm bath to try and relax her to see if that would help. She managed that and went to sleep after finally taking a bottle about 8 hours after the shots were given. This was an extremely long time for her to go without food since she only took 2-3 oz bottle at the time and ate every 2-3 hours usually.  The following morning she was burning. Her leg was swollen and one of the injection sites was all red and inflamed, like a bug bite. She had a 101.5 fever so I called the advise nurse again. This nurse acknowledged it was most likely a reaction right away and told us that most likely the next round of shots would make it worse so we needed to talk to Eden's doctor about either holding off, splitting them up, or just not doing them now then she told me to give her more Tylenol and to put cool rags on her head until her doctor called us back. We did this and I even took her into the shower with me and put her under the cool water. The entire time Eden would still not give us direct eye contact and had the shrill cry still. She acted as though any contact with her skin hurt her.   At about noon her doctor called. I told her everything that had happened and she kept reassuring me that it was not a reaction. I told her what the nurse said and she said that reactions like that are rare. I quickly pointed out to her that she had seen Eden a few hours before all this started and that she was fine, so her telling me it was something else made no sense at all. She reluctantly agreed and told me to only give her Tylenol on demand when Eden was really bad because that too could build up in her system and cause problems if she was already being susceptible to having reactions. She agreed that we needed to keep cool rags on her  if Eden would allow them and then asked if I was scared to continue her vaccinations. I told her I was and that we would be doing research and talk with her at her 6 month appointment about our options, that now over the phone was not the best time because I had a baby that was going through something caused by the shots and that was my only priority at the time.  Her doctor felt that a doctors appointment or going to the ER was not necessary, even though I asked numerous times if this is what we should do.