VAERS ID: 741157

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

Description

19yo male who received the vaccinia vaccine on 16Feb2018 presents to MC worsening skin lesions. On 3/11/18 the patient noticed he had ~6 erythematous papules ~0.5-1cm in diameter on his right index finger, wrist, and bicep. The lesions on his index finger and upper extremity erupted over previous breaks in his skin from grappling. The lesions where not pruritic at first, but became pruritic later that day. On 3/12, he had more lesions on his right extremity and chest. He was diagnosed with molluscum contagiosum and given hydrocortisone cream. The following day, he continued to have new lesions including one under his right eye where there was a previous grappling cut and worsening puritis. He visited the ER where he was diagnosed with MRSA and started on BACTRIM. He continued to have more lesions on his neck and left arm and made a dermatology appointment. The dermatologist was concerned for a vaccinia reaction and transferred the patient to MC. The patient states he scratches these lesions constantly, occassionally opening them up and he sees clear fluid draining from them. The patient states he is otherwise at his baseline health. Denies fever, chills, SOB, cough, abdominal pain, diarrhea. The patient states that the night before the erruptions began he had unprotected sex with a new partner. He asked both the new partner and his grappling partners if they have any skin issues and they denied. He has also been non-compliant with covering his vaccinia vaccination site. He has repeatedly manipulated it and has not had it covered throughout the day.

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Symptoms

Blood HIV RNA, Blood bicarbonate normal, Blood calcium normal, Blood chloride normal, Blood creatinine increased, Blood glucose normal, Blood magnesium normal, Blood phosphorus normal, Blood potassium normal, Blood sodium normal, Blood urea normal, Discharge, HIV antibody negative, Haematocrit normal, Haemoglobin normal, High risk sexual behaviour, Molluscum contagiosum, Platelet count normal, Rash papular, Rash pruritic, Scratch, Skin lesion, Staphylococcal infection, Treatment noncompliance, White blood cell count decreased

Vaccines

VAX DATE: 02-16-2018| ONSET DATE: 03-12-2018| DAYS TO ONSET: 24
NameDose #TypeManufacturerLotRouteSite
SMALLPOX (ACAM2000) 1 SMALL SANOFI PASTEUR 4795H SYR LA

RECVDATE:03-16-2018
RPT_DATE:
CAGE_YR:19
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:U
HOSPITAL:Y
HOSPDAYS:2
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:CBC: 4.6>15.4/44.4<207; CHEM10: 141/4.4|103/25|16/1.4(H)|97 9.4/2.0/3.8; Viral load pending;HIV 4th gen pending; Oraquick neg
V_ADMINBY:MIL
OTHER_MEDS:sulfamethoxazole/trimethoprim 800-160mg PO BID
CUR_ILL:none
HISTORY:none
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:03-16-2018
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:Y
ALLERGIES:NKDA
V_FUNDBY:

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