Received May 23, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAPIPVHIB | DTAP + IPV + HIB (PENTACEL) | SANOFI PASTEUR | 1 | UK199AA | IM / RL |
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 4 | LX4484 | IM / RL |
Patient developed petechiae on entire body 10 days following vaccine. Guardian took patient to the emergency department where blood was drawn for lab work. Patient's platelets were only 6. Petechiae and bruising continued to worsen, and patient was admitted to the hospital to be seen by hematology. Patient was diagnosed with ITP (Immune Thrombocytopenia Purpura) as a direct cause of immune response to vaccines given. Patient also had fevers as high as 104 and subsequently developed a double ear infection, and synovitis in legs. Required 5 days of prednisone for ITP and IM Rocephin in conjunction with oral amoxicillin for severe ear infection.
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Multiple lab draws, where we determined platelets were only 6 and white count was slightly elevated. Lab draws occurred on 5/5/24, 5/6/24, 5/12/24, and 5/22/24. Patient also received an xray on 5/14/24 due to synovitis.