Received Mar 26, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAPHEPBIP | DTAP + HEPB + IPV (PEDIARIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 9D25P | IM / RL |
| HIBV | HIB (PEDVAXHIB) | MERCK & CO. INC. | 1 | Y006393 | IM / RL |
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 1 | LK6655 | IM / LL |
| RV1 | ROTAVIRUS (ROTARIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 7E9Y2 | PO / MO |
Patient developed diarrhea the day after his vaccines, which persisted until he developed a fever, conjunctivitis, lethargy, and diffuse macular rash on 3/4/25. He was admitted to the hospital, and after CBC showed elevated platelets and UA showed pyuria, he was diagnosed with Kawasaki Disease. He was treated with IVIG and Remicade and started on daily aspirin and his fever resolved within 24 hours. Echocardiogram showed no evidence of coronary vessel dilatation.
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3/4/25 - CBC with normal blood counts except platelets of 522, Blood culture negative, CRP high at 50.7, Procalcitonin 0.3, CMP with Na of 131, Sed rate 39, Measles antibodies negative, CSF panel and CSF culture negative (bloody tap), UA with microscopic with small leukocytes, 18 WBC, and Urine Culture with 10-50K E coli, and measles PCR negative , as well as a respiratory virus panel (negative) were done. Gastrointestinal panel PCR positive for Rotavirus.