VAERS ID: 597036

AGE: 19| SEX: M|STATE: HI (United States)

Description

19 year old male presented for smallpox vaccination on 9SEP2015, also issued medication to treat current case of tinea pedis. Patient did not follow recommended follow up instructions for 7 days post vaccination and presented on day 9. Satellite lesions noted, as well as increased severity of tinea pedis, along with improper vaccination site care. The following day Patient presented to the Emergency Room for possible generalized vaccinia (10 days post vaccination), patient was febrile (104 degree oral temp), tachycardic, and had a transient blood pressure of 110/70. Treated with fluids and anti-inflammatories at ER. No labs drawn at this time due to vital signs. Patient followed up next day (day 11) to rule out meningitis and encephalitis. Asymptomatic at that time, however, later that night patient presented again to ER with 102.8 degree temperature, tachycardia and was treated for possible streptococcal pharyngitis. Rapidstrep, CBC and monospot labs taken, and later results were positive for infectious mononucleosis, which could have contributed to systemic spread by suppressing the immune system. The next day (day 12, 21SEP2015) patient presented with multiple smallpox lesions on the feet, one on the face, four on the lower back, and one on the right leg along with the same number of satellite lesions as noted on day 9. Patient referred to Dermatology same day, diagnosed with generalized vaccinia due to systemic spread and not accidental autoinoculation. Normal vital signs noted and recommended isolation precautions x14 days. Patient currently is checked twice a day to monitor for vital signs and possible development of new lesions.

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Symptoms

Condition aggravated, Full blood count, Generalised vaccinia, Mononucleosis heterophile test positive, Pyrexia, Streptococcus test, Tachycardia, Tinea pedis, Vaccination complication

Vaccines

VAX DATE: 09-09-2015| ONSET DATE: 09-19-2015| DAYS TO ONSET: 10
NameDose #TypeManufacturerLotRouteSite
ANTHRAX (BIOTHRAX) 1 ANTH EMERGENT BIOSOLUTIONS FAV427A IM RA
HEP A + HEP B (TWINRIX) 3 HEPAB GLAXOSMITHKLINE BIOLOGICALS 3ED7N IM RA
JAPANESE ENCEPHALITIS (IXIARO) 1 JEV1 INTERCELL AG JEV13M54E IM RA
SMALLPOX (ACAM2000) 1 SMALL SANOFI PASTEUR vv04003a Unknown Unknown

RECVDATE:09-23-2015
RPT_DATE:09-23-2015
CAGE_YR:19
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:Y
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:Positive Heterophile Ab (Infectious Mononucleosis Screening)
V_ADMINBY:MIL
OTHER_MEDS:Patient was initially using hydrocortisone cream on tinea pedis, was issued clotrimazole 1%. Patient has taken ibuprofen 800 mg tabs @ ER.
CUR_ILL:Tinea Pedis noted.
HISTORY:Egg allergy, Seasonal Allergies, unconfirmed previous case of eczema notified by mother (not disclosed by patient at time of vaccination).
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:1
TODAYS_DATE:
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:MIL

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