Received Aug 21, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAP | DTAP (INFANRIX) | GLAXOSMITHKLINE BIOLOGICALS | 4 | 223Y9 | IM / RA |
| IPV | POLIO VIRUS, INACT. (IPOL) | SANOFI PASTEUR | 4 | Y1D03P1 | IM / LA |
Parents noticed tic like movements of patient's eyes, frequently moving both eyes right superolateral. Random frequency. No visual disturbance. No other neurologic symptoms. Behavior slightly more irritable after the immunizations, otherwise normal behavior. Patient evaluated by me on 8/20/25, noted to be of her normal behavior, unchanged from day of vaccine (I saw her that day also). Vision screen unchanged from 8/13/25. Observed to have tic like movements of both eyes to right superolateral. Eye exam otherwise normal. No nystagmus, able to follow finger with her eyes appropriately. Being referred to pediatric neurology.
none
none
cetirizine, children's chewable multivitamin
penicillin
Vision screen 8/20/25 unchanged from 8/13/25