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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 16 out of 7,653

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VAERS ID: 57871 (history)  
Form: Version 1.0  
Age: 1.4  
Sex: Female  
Location: Florida  
Vaccinated:1993-11-08
Onset:1993-11-08
   Days after vaccination:0
Submitted: 1993-11-09
   Days after onset:1
Entered: 1993-12-03
   Days after submission:24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 3H41035 / 4 LA / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 010JN / 4 RA / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. G0123 / 4 LL / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0060W / 1 RL / SC

Administered by: Public       Purchased by: Unknown
Symptoms: Conjunctivitis, Cyanosis, Diarrhoea, Rash maculo-papular, Urticaria, Vasodilatation
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Conjunctival disorders (narrow), Ocular infections (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), 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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: FL93074

Write-up: 8NOV93 pt recvd vax between 930-10AM; mom observed spots on eyes & red eyes; @ 1PM; 3PM ears were firey red, eyes lips red, welts over body;


VAERS ID: 57877 (history)  
Form: Version 1.0  
Age: 67.0  
Sex: Male  
Location: North Carolina  
Vaccinated:1993-11-17
Onset:1993-11-22
   Days after vaccination:5
Submitted: 1993-11-22
   Days after onset:0
Entered: 1993-12-03
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. J0223 / UNK RA / -
MEN: MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABORATORIES 3B51031 / UNK LA / -
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 4938027 / UNK LA / IM

Administered by: Private       Purchased by: Other
Symptoms: Injection site hypersensitivity, Pruritus
SMQs:, Anaphylactic reaction (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: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: itching, red, lasted 2 days then disappeared-very mild; area 2 1/2" diameter over inject site;


VAERS ID: 57878 (history)  
Form: Version 1.0  
Age: 52.0  
Sex: Female  
Location: North Carolina  
Vaccinated:1993-11-17
Onset:1993-11-22
   Days after vaccination:5
Submitted: 1993-11-24
   Days after onset:2
Entered: 1993-12-03
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. J0223 / 2 RA / SC
MEN: MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABORATORIES 3B51031 / 2 LA / SC
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 4938027 / 2 LA / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Pruritus, Skin nodule, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad), 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: ~ ()~~~In patient
Other Medications: Premaris;
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: red, itching, lump-itching lasted 2 days then spontaneously abated;


VAERS ID: 58113 (history)  
Form: Version 1.0  
Age: 15.0  
Sex: Female  
Location: Florida  
Vaccinated:1993-11-30
Onset:1993-11-30
   Days after vaccination:0
Submitted: 1993-11-30
   Days after onset:0
Entered: 1993-12-10
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0489 / 1 RA / SC
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 346911 / 5 RA / IM

Administered by: Public       Purchased by: Public
Symptoms: Injection site hypersensitivity, Pruritus
SMQs:, Anaphylactic reaction (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: NA~ ()~~~In patient
Other Medications: NA
Current Illness: mild cold
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: NA
CDC Split Type: FL93076

Write-up: rt arm became red in between areas of inject w/itching; MD checked on pt;


VAERS ID: 58308 (history)  
Form: Version 1.0  
Age: 1.4  
Sex: Male  
Location: South Carolina  
Vaccinated:1993-11-18
Onset:1993-11-26
   Days after vaccination:8
Submitted: 1993-11-29
   Days after onset:3
Entered: 1993-12-20
   Days after submission:21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 350916 / 2 RL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0942W / 2 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M135KA / 1 RL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. J0223 / 1 RA / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0424W / 1 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Pharyngitis, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Hypersensitivity (narrow), 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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt''s exp t104, fever, ?sz @ 8 mos w/DTP #3;~ ()~~~In patient
Other Medications: iron drops
Current Illness: NONE
Preexisting Conditions: hx frequent otitis
Allergies:
Diagnostic Lab Data:
CDC Split Type: SC93146

Write-up: mom gave hx 105 fever; pt seen by MD; onset rash 28NOV; MD advised f/u PMD; called MD office 2DEC; fever due to URI


VAERS ID: 58343 (history)  
Form: Version 1.0  
Age: 2.0  
Sex: Male  
Location: Michigan  
Vaccinated:1993-09-23
Onset:1993-09-25
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 1993-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH TR1319B / 4 RL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M040JH / 1 LL / -
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. G0131 / 2 LA / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 05469 / 1 RA / -

Administered by: Public       Purchased by: Public
Symptoms: Injection site mass, Lymphadenopathy, Paralysis
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Extravasation events (injections, infusions and implants) (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), 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? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: p/giving vax was advised that had gotten over pertussis 2 mos ago;
Allergies:
Diagnostic Lab Data:
CDC Split Type: MI93170

Write-up: lump @ site areas of legs, gland swelling of neck; 1 day unable to move legs, arms, head; took to ER;


VAERS ID: 58887 (history)  
Form: Version 1.0  
Age: 39.0  
Sex: Male  
Location: Florida  
Vaccinated:1993-10-28
Onset:1993-10-28
   Days after vaccination:0
Submitted: 1993-12-14
   Days after onset:47
Entered: 1994-01-10
   Days after submission:27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER 492818 / 1 RA / IM
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 346911 / 1 RA / IM
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 4938034 / 1 RA / IM

Administered by: Public       Purchased by: Public
Symptoms: Chills, Dyspepsia, Myalgia, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Gastrointestinal nonspecific dysfunction (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (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: NA
CDC Split Type: FL94001

Write-up: pt c/o aches & pains, chills, unable to get up from bed, sick to stomach;


VAERS ID: 58900 (history)  
Form: Version 1.0  
Age: 0.1  
Sex: Male  
Location: New Hampshire  
Vaccinated:1993-10-13
Onset:1993-10-21
   Days after vaccination:8
Submitted: 1993-12-20
   Days after onset:60
Entered: 1994-01-10
   Days after submission:21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 355901 / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0460W / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M110KA / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. G0489 / 1 LL / IM

Administered by: Private       Purchased by: Public
Symptoms: Sudden infant death syndrome
SMQs:, Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1993-10-21
   Days after onset: 0
Permanent Disability? No
Recovered? No
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: NH93028

Write-up: SIDS 21OCT93;


VAERS ID: 59100 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Texas  
Vaccinated:1993-12-16
Onset:1993-12-16
   Days after vaccination:0
Submitted: 1993-12-21
   Days after onset:5
Entered: 1994-01-14
   Days after submission:24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 3L41093 / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M125K / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. J0223 / 1 LL / IM

Administered by: Public       Purchased by: Public
Symptoms: Hyperkinesia, Pyrexia, Screaming
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Akathisia (broad), Hostility/aggression (broad), 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? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EEG; CT spinal; chem 20;
CDC Split Type: TX93236

Write-up: startling effect every 10-15 sec for about 30 minutes; temp approx 101 R; constant crying lasting through the noc;


VAERS ID: 59369 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Male  
Location: Idaho  
Vaccinated:1993-08-09
Onset:1993-08-10
   Days after vaccination:1
Submitted: 1993-12-22
   Days after onset:134
Entered: 1994-01-31
   Days after submission:40
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTPHIB: DTP + HIB (TETRAMUNE) / PFIZER/WYETH 353905 / 4 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1617V / 2 RL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0100 / 3 LA / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0805V / 1 RA / SC

Administered by: Public       Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site oedema, Malaise, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)

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: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: milk, sulfa drugs;
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: ID93115

Write-up: pt lt leg was red & swollen from hip to the knee; pt was listless for 24 hrs leg remain sore for 2-4 wks; seen by MD 3x;


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