Received Apr 23, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTPPVHBHPB | DTAP+IPV+HIB+HEPB (VAXELIS) | MSP VACCINE COMPANY | 1 | U7151AA | IM / LL |
On morning of 11/13/2022 family sent video of patient with roving eye movements. This was worked up extensively and resulted in a diagnosis of nystagmus. The nystagmus has improved over the past year, but continues to be an issue.
Had febrile illness temp to 101 beginning 10/15/2022. Went to ER. Difficulty obtaining labs, but reassuring CRP and procalcitonin, and NP swab positive for rhinovirus/enterovirus. Next day continued temps, higher up to 102.5 and fussiness. Back to ER 10/16/2022. W/u then showed WBC normal, but 22N, 10 Bands. CRP increased from 6-- > 29. Procalcitonin increased 0.11-- > 0.16. UA with 20 WBCs and some RBCs. 1+ bacteria. LP with 8 WBCs, 2 RBCs, normal diff, protein and glucose both 55. Ecephalitis panel sent. Given CTX IV and script for cephalexin and sent out. Subsequently, urine culture negative, and spinal fluid became positive for enterovirus by PCR.
Nystagmus, which is the adverse event being reported. No chronic conditions prior to vaccination
None
None known
Labs (blood and urine cathecholamines) and MRI done in 12/2022 to rule out neuroblastoma (opsoclonus/myclonus). And were all negative.