Received Jul 14, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTPPVHBHPB | DTAP+IPV+HIB+HEPB (VAXELIS) | MSP VACCINE COMPANY | 1 | U601AA | IM |
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 1 | NA0156 | IM |
| RV1 | ROTAVIRUS (ROTARIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 94A7Z | PO / MO |
2 month old baby with no significant PMH received her 2 month old vaccines on 07/07 in the am. That same day afternoon starting 5pm she developed leftward eye gaze, repetitive left upper extremity shaking, was sticking her tongue out and had increased tone which lasted 1+ hours. She was taken to Hospital ED and seizure was aborted with intranasal and IV midazolam and a loading dose of keppra. She was admitted. EEG did not show electrographic seizures. CSF studies returned without source of infection. New onset seizure labs were sent- including urine organic acids, carnitine levels, plasma acylcarnitine and plasma amino acids. Overall workup came back with reassuring results. Patient was discharged home without any seizure meds. Patient to follow up with neurology outpatient.
None
None
Tylenol was given at 1pm that afternoon for fussiness.
No known allergies
07/07: POC glucose, POC blood gas, blood culture, CMP, CRP, lactic acid, urine culture, UA, Procalcitonin; LP obtained and sent CSF cell count, glucose& protein, culture, fugal culture, Gram stain, meningitis/Encephalitis pathogen panel; Respiratory panel. 07/08 sent Plasma Amino acid, Plasma acylcarnitine, Carnitine levels, - Urine Organic Acid. 07/07 CT head without contrast. 07/09 MRI brain. Video EEG obtained during hospital stay.