Received Jul 8, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAP | DTAP (INFANRIX) | GLAXOSMITHKLINE BIOLOGICALS | 4 | 5KR3R | IM / RL |
| HIBV | HIB (PEDVAXHIB) | MERCK & CO. INC. | 4 | Y014938 | IM / LL |
Call 07/03 "Mom reports pt had vaccines yesterday (7/2/25): Dtap HIB Sites of injection look good. Pt developed a fever this evening T100.4 axillary (Taken "ten minutes ago" from call). Pt is currently sleeping and is wearing an Owlet sock: Earlier today: 110 Highest during sleep: 147 (last taken mom reports when this writer called her back). 98-100 O2 Sat when mom read last." ED visit 07/04/25: patient presented with generalized tonic-clonic seizure lasting approximately 5 minutes. Onset occurred at home while being put down for rest. Fever began yesterday following vaccination, treated with Ibuprofen. Today fever exceeded 100°F. Seizure characterized by generalized shaking with some head bobbing, non-focal event. Seizure activity continued upon EMS arrival and was ongoing until Versed administration, less than 10 min. Post-ictal period notable for lethargy initially, arrives crying and not wanting to be bothered. No evidence of trauma. Definite fever preceding illness. Parents sought care due to seizure activity and fever. Discussed fever control with parents, recommending Ibuprofen and Tylenol at first sign of fever. No evidence bacterial infection, did not obtain CXR without resp sx, with normal O2 sat and reassuring exam, antibiotics not indicated. Tolerated PO well without vomiting. Soft abdomen, no surgical process suspected. Fever likely due to teething combined with recent vaccination, possible concomitant viral illness. 07/05 : History of Present Illness: Patient is a 15 m.o. male febrile seizures yesterday and visited ED, now with mild fevers today but responding to meds OV 07/07 1. Febrile Seizure. The febrile seizure is likely due to a viral infection rather than post-vaccination effects. The absence of a family history of seizure disorders suggests a low risk of developing a seizure disorder in the future. The fever has subsided, and the rash is consistent with hand, foot, and mouth disease caused by the coxsackievirus. The rash is not contagious. The likelihood of another febrile seizure is low, but if it occurs, Tylenol or ibuprofen can be used to manage the fever and pain. The parents were advised to keep him cool during future illnesses to prevent rapid temperature changes.
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