Report #2851221

Received Jul 25, 2025

ER / ED visitOffice visit

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Overview

Sex: Male
Age: 1.1 yrs
State: CA
Recovered: Recovered
Vaccinated: Jul 17, 2025
Onset: Jul 17, 2025
Days to onset: 0
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
HEPA	HEP A (HAVRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	A3X2K	IM / RL
MMR	MEASLES + MUMPS + RUBELLA (MMR II)	MERCK & CO. INC.	1	Y004116	SC / LA
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	4	MF0416	IM / LL
VARCEL	VARICELLA (VARIVAX)	MERCK & CO. INC.	1	Y015108	RL

Symptoms (7)

CyanosisGaze palsyGeneralised tonic-clonic seizureHypotoniaMusculoskeletal stiffnessTardive dyskinesiaUnresponsive to stimuli

Symptom narrative

Patient received MMR, VRZ, Peumo20, and Hep A vaccines for 12 Months WCC visit with Pediatrician on 07/17/2025 around 08:30am. Patient had no fevers or other symptoms during visit and was discharged. Per mother, around 07:50pm same day, patient started going limp followed by eyes rolling with lip smacking, cyanosis, being unresponsive, and his body stiffened. Patient had his first-time tonic-clonic seizure lasting around 5 minutes. EMS called and transported to ED. During ED visit, patient had 39.4 Celsius fever, Tylenol given, kept under observation, and discharge home with acetaminophen and ibuprofen. ED F/U w/ Dr. the following day.

Current illness

None.

Medical history

None.

Other medications

None.

Allergies

None.

Lab data

None.