Received Aug 31, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HEPA | HEP A (HAVRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | — | IM |
| HIBV | HIB (PEDVAXHIB) | MERCK & CO. INC. | 3 | — | IM |
| MMR | MEASLES + MUMPS + RUBELLA (MMR II) | MERCK & CO. INC. | 1 | — | IM |
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 4 | — | IM |
| VARCEL | VARICELLA (VARIVAX) | MERCK & CO. INC. | 1 | — | IM |
Monday PM after vaccines lethargic with fever to 104 Tmax rectally and conjunctivitis. Tuesday ongoing fever with unbalanced walking low energy and tired and clingy. Wednesday fatigue progressive with not wanting to walk or move. Has been walking for past 1-2 months. Did have one episode spitting up/emesis. Also developed whole body shakiness that started with one arm and one leg and progressed to whole body shaking. No turning blue, was unresponsive during episode, and parents could not stop the shaking. Poor balance continued. Would not walk or crawl and balance continued to worsen. Thursday ongoing fever with purple hands and feet prompting hospital evaluation. ROS: cough. Denies rhinorrhea, diarrhea, extremity swelling, rash, LAD. Endorse possibly bright pink swollen lips. Since hospitalization, febrile Tmax 40.3C. Hypotensive on arrival, otherwise age appropriate VS. Low flow NC. Labs have shown normal Cr, normal LFTs, normal CK, normal albumin, elevated PCT, neutrophilic predominant leukocytosis, normal hgb, normal plts, nml AEC, CSF profile without pleocytosis normal glucose and protein, elevated but DT CRP, clear UA without pyuria. ID work up has included negative urine culture, blood cultures, CSF culture, MEP. Positive RPP for adenovirus. Imaging shows clear CXR and normal MRI brain and spine with contrast. Ataxia resolved and improving fatigue. Thought to have had possible transient ataxia and febrile seizures from vaccinations.
Adenovirus URI, diagnosed 8/28 via viral respiratory PCR panel
Recurrent AOM s/p tympanostomy tubes
Miralax PRN, tylenol PRN, zofran PRN
None
See above.