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From the 1/14/2022 release of VAERS data:

Found 76,530 cases where Vaccine is 6VAX-F or DPIPV or DPP or DTAPHEPBIP or DTAPIPV or DTAPIPVHIB or DTIPV or DTPIHI or DTPIPV or DTPPHIB or IPV or TDAPIPV and Submission Date on/before '2015-09-30'

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Case Details

This is page 11 out of 7,653

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VAERS ID: 51896 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Minnesota  
Vaccinated:1993-03-09
Onset:1993-03-09
   Days after vaccination:0
Submitted: 1993-03-09
   Days after onset:0
Entered: 1993-04-16
   Days after submission:37
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2E41072 / 2 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M225HL / 2 RL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0210 / 2 LA / SC

Administered by: Private       Purchased by: Private
Symptoms: Agitation, Injection site hypersensitivity, Injection site oedema, Vasodilatation
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Hostility/aggression (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: immed p/inject area surrounding inject site became reddened, warm to touch, sl edema; no resp distress, pt crying; pt seen by MD & DPH given;


VAERS ID: 51963 (history)  
Form: Version 1.0  
Age: 0.9  
Sex: Male  
Location: Louisiana  
Vaccinated:1993-03-19
Onset:1993-03-19
   Days after vaccination:0
Submitted: 1993-03-22
   Days after onset:3
Entered: 1993-04-20
   Days after submission:28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2E41060 / 2 RL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0210 / 1 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Agitation, Injection site hypersensitivity, Otitis media, Pharyngitis, Pyrexia, Stupor
SMQs:, Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Oropharyngeal infections (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: ear infection & sore throat
Preexisting Conditions: Vascular disorder to be dx
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: LA930404

Write-up: mom reports early PM of vax date, babysitter reports child was in a daze & very agitated lt arm devel penny size red area, t103; tried APAP & DPH; pt was found to have sore throat & ear infect & was started on bactrim;


VAERS ID: 52287 (history)  
Form: Version 1.0  
Age: 2.0  
Sex: Female  
Location: Georgia  
Vaccinated:1993-02-22
Onset:1993-03-02
   Days after vaccination:8
Submitted: 1993-03-04
   Days after onset:2
Entered: 1993-05-03
   Days after submission:59
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2E41072 / 3 RA / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M130JB / 3 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. G0100 / 3 RL / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0968V / 1 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Face oedema, Pyrexia, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: NA
CDC Split Type: GA93049

Write-up: mom states pt is red all over face, arms, trunk (back & chest) & legs since afternoon of 2MAR93; vax recvd 22FEB93; mom stated pt had fever on the evening of 2MAR93 was given APAP; states face swollen the AM of 2MAR93;


VAERS ID: 53408 (history)  
Form: Version 1.0  
Age:   
Sex: Male  
Location: Colorado  
Vaccinated:1992-08-05
Onset:0000-00-00
Submitted: 1992-08-14
Entered: 1993-05-11
   Days after submission:270
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 320906 / 1 - / SC A
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. Q123 / 1 LA / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1917S / 1 LL / SC

Administered by: Public       Purchased by: Public
Symptoms: Injection site hypersensitivity, Vasodilatation
SMQs:, Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Metoclopramide; Iberet 500mg; FOlic acid 1 mg;
Current Illness: chronic dialysis pt; obstructive uropath
Preexisting Conditions: vancomycin-red man synd
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: 920299001

Write-up: Pt inadvertently recvd DTP via SC route; exp severe reaction @ site consisting of erythema, hot to touch & blistering 4-5cm in diameter 9 days following immun; no treatment initiated; pt recovered;


VAERS ID: 52579 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Tennessee  
Vaccinated:1993-04-15
Onset:1993-04-16
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1993-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 2F41092 / UNK - / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1555V / UNK - / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M025JE / UNK - / -
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. G0083 / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Apnoea, Bradycardia, Cardiac arrest, Haematemesis, Hypoventilation, Pallor
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Gastrointestinal haemorrhage (narrow), Acute central respiratory depression (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Respiratory failure (narrow), Infective pneumonia (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: APAP
Current Illness:
Preexisting Conditions: premature pt w/apnea of prematurity nearing discharge from hosp; NKA;
Allergies:
Diagnostic Lab Data: aminophylline;
CDC Split Type:

Write-up: pt became ashen, bradycardic, & hypoventilated; blood tinged vomitus was noted; pt was intubated & given CPR; pt did not respond to resuscitation & died; temporally related to vax administration (2hrs);


VAERS ID: 52600 (history)  
Form: Version 1.0  
Age: 51.0  
Sex: Female  
Location: Michigan  
Vaccinated:1993-04-26
Onset:1993-04-30
   Days after vaccination:4
Submitted: 1993-05-06
   Days after onset:6
Entered: 1993-05-14
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. GO102 / 2 - / SC

Administered by: Public       Purchased by: Public
Symptoms: Back pain, Oedema peripheral, Oliguria, Renal impairment
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Cardiac failure (broad), Angioedema (broad), Retroperitoneal fibrosis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Premarin
Current Illness: NONE
Preexisting Conditions: PCN, Sulfa, Codeine, Mebarol, Dilantin, Pine pollen, dustmites, streptomycin;
Allergies:
Diagnostic Lab Data: medical waiver contraindication form given;
CDC Split Type: MI93054

Write-up: 30APR93 820AM OK no problems p/#2 IPV; 6MAY93 9AM clinic notified that on 30APR93 930AM devel pain rt & lt posterior lumbar area more so on right; had some edema hands, etc; did drink a lot of fluids; said had dec kidney output;


VAERS ID: 52728 (history)  
Form: Version 1.0  
Age: 1.0  
Sex: Female  
Location: Texas  
Vaccinated:1992-12-16
Onset:1992-12-18
   Days after vaccination:2
Submitted: 1993-05-10
   Days after onset:142
Entered: 1993-05-17
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / PFIZER/WYETH 310968 / 1 RL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G013 / 1 LL / -

Administered by: Private       Purchased by: Private
Symptoms: Agitation, Pyrexia, Somnolence, Stupor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: unk;~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: pt was extremely fussy, lethargic, & dazed for approx 5 days; fever;


VAERS ID: 52958 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Oklahoma  
Vaccinated:1993-03-02
Onset:1993-03-02
   Days after vaccination:0
Submitted: 1993-05-14
   Days after onset:72
Entered: 1993-05-20
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 336905 / 1 RL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1426V / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M120JJ / 1 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0125 / 1 LL / IM

Administered by: Private       Purchased by: Private
Symptoms: Pallor, Somnolence, Stupor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: pale, prolonged sleep w/difficulty arousing pt, dec responsiveness to environmental stimuli approx 8 hrs; no treatment;


VAERS ID: 53484 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Male  
Location: Illinois  
Vaccinated:1993-05-19
Onset:0000-00-00
Submitted: 1993-05-20
Entered: 1993-06-01
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2H31039 / 2 LL / IM
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER 68515OK / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M100HP / 2 RL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0210 / 2 LL / IM

Administered by: Public       Purchased by: Public
Symptoms: Anorexia, Apnoea, Cardiac arrest, Cough, Petechiae, Rhinitis, Sudden infant death syndrome
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (narrow), Cardiomyopathy (broad), Neonatal disorders (narrow), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1993-05-20
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: IL93082

Write-up: most likely unrelated but pt died of SIDS; pt exposed to HIV; born premature 30 wks gestation;


VAERS ID: 54329 (history)  
Form: Version 1.0  
Age: 21.0  
Sex: Male  
Location: Georgia  
Vaccinated:1992-04-16
Onset:1992-04-26
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 1993-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0102 / UNK - / -
MEN: MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABORATORIES 2A41018 / UNK - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0852T / 1 - / -
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD. 122401A / UNK - / -
YF: YELLOW FEVER (YF-VAX) / CONNAUGHT LABORATORIES 1M21021 / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Myalgia, Pharyngitis, Pyrexia, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Atrohist;
Current Illness:
Preexisting Conditions: sinus problem;
Allergies:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92040858

Write-up: Pt recvd vax 16APR92 & pt devel pinkish-reddish small-bump nonpruritic rash distributed primarily on chest, stomach & shoulders; also exp a sore throat, aching & t100;


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