Age: 16.0
Sex: M
Vaccine: MMR, MMR
Symptoms: Visual field defect, Visual impairment
Clinical narrative: 8:30 - 9:00 :  Appt to get MMR, severe burning at injection site, minutes later -  joint pain on the left side of his body, headache in temple 5 min after that moved towards the back of head,   9:00 - 10:30 - Vision in right eye has ?blurry/dead spots?  and loss of peripheral vision on the right side and migraine level pain within the hour. Difficulty recalling words and speaking. Tongue begins swelling. Circulation affected - purple extremities, fingernail beds white/not refilling. Trouble regulating temperature.   Home treatment- Ice pack the back of head, 2 excedrin plus caffeine, 2 tumeric capsules, 1 tbs cod liver oil, activated charcoal capsule  Pain increases. PCP recommends going to the ER.   On the way, tongue swells, speech slurring and difficult, tightness in chest and breathing difficulty and numbness on the right side.  The tongue swelling and breathing difficulty is why I marked 'life threatening illness' and was the scariest part.  It never progressed to full inability to breathe or loss of consciousness, though, and began to spontaneously resolve as we got to ER.   11:30ish Arrive at ER. They give benadryl and ibuprofen; later zofran.   The tongue and breathing difficulty subsided quickly and patient was monitored and treated for the migraine.  Multiple Systems affected:  Muscular/skeletal- joint pain Circulatory- extremities purple, capillary refill not happening Nervous System- headache and difficulty recalling words and speaking Respiratory System- tightness in throat, difficulty breathing, swollen tongue Gastrointestinal - Nausea Optical System- Impaired vision  1:30 Nausea and migraine pain persist.  By 3:30 he was doing better and we were discharged.  In his own words: This is the first hand account of patient of the medical events between Friday, October 25th and Saturday, October 26.   October 25th:  At 8:30 (approximately) I was given my MMR vaccine, administered to my left arm. The injection burned, more than the other vaccines I had experienced. The site of the injection was sore and had a burning sensation. As I was walking out to my vehicle, I began to notice pain in my left side. My joints, in particular, hurt. After getting home, my condition started to worsen. A horrible headache started in my left temple. Shortly after, I began to feel nauseous. My vision faded from my right eye. Next, I started losing certain words from my vocabulary. For example, I couldn?t remember the words brass, breathing, heartbeat, or brain. Then the headache spread around the back of my head. My discomfort became so severe I was transported to the ER by my mother. In route, my vision in both eyes blurred or faded to almost nothingness, my throat and tongue swelled up and made breathing difficult. This was the climax of my illness. By the time we had arrived to the ER, my swelling had began to go down. My vision was still bad enough that my father, who had met us at Hospital, had to guide me to the proper area. My vision began to return in my left eye, but my right eye remained impaired for about 15-20 minutes longer. I remained in the hospital for about 4 hours. During that time, I was given ibuprofen, benadryl, and an anti-nausea pill of some kind. I drank plenty of water and urinated numerous times in larger quantities than normal. I can only assume that my body was expelling some harmful substance. After I was discharged, I was feeling better. The back of my head was still sore, and sudden turns, steps, and loud noises hurt a lot. The following morning, I was dizzy at first, but that subsided after a nice shower. It returned temporarily when I was visiting my grandparents, but passes before I arrived home.  As of 10/30/19, I have been having difficulty concentrating and mild dizziness on a daily basis. School has been rather difficult. This inconvenience has made it much more difficult to study, and I?ve had to work considerably harder to get my normal results.   ---------------------------