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From the 11/26/2021 release of VAERS data:

Found 76,104 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 3 out of 7,611

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VAERS ID: 34827 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Female  
Location: Georgia  
Vaccinated:1991-08-28
Onset:1991-08-29
   Days after vaccination:1
Submitted: 1991-08-29
   Days after onset:0
Entered: 1991-09-19
   Days after submission:21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. 841223 / 1 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Agitation, Anorexia, Pharyngitis, Pyrexia, Somnolence
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), 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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: GA91246

Write-up: States t102.8 AX early AM & cranky, states sleepier than usual, appetite poor; t102 AX approx 1PM; "cold sx", sore throat;


VAERS ID: 34839 (history)  
Form: Version 1.0  
Age: 6.0  
Sex: Male  
Location: Idaho  
Vaccinated:1991-08-27
Onset:1991-08-27
   Days after vaccination:0
Submitted: 1991-08-28
   Days after onset:1
Entered: 1991-09-19
   Days after submission:22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 300922 / 3 RA / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. 841222 / 3 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Pain, Pyrexia, Screaming
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: ID91048

Write-up: Pt recvd #3 DTP & IPV 27AUG91 & mom describes sore rt arm & temp @ 8PM 105 orally; Pt given APAP q3-4 hrs; Temp came down to 102 only p/alcohol sponge bath; Also exp uncontrollable crying for several hrs;


VAERS ID: 35230 (history)  
Form: Version 1.0  
Age: 5.0  
Sex: Male  
Location: Kansas  
Vaccinated:1991-08-12
Onset:1991-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 297909 / UNK LA / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. 841212 / UNK LL / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0055T / UNK RA / SC

Administered by: Public       Purchased by: Public
Symptoms: Headache, Hypersensitivity, Hypotonia, Pain, Pyrexia, Somnolence, Stupor, Vomiting
SMQs:, Acute pancreatitis (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (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? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: PCN
Allergies:
Diagnostic Lab Data:
CDC Split Type: KS91049

Write-up: 12AUG91 mom states pt has severe h/a, holding head & crying; warm to touch-no temp taken; pt taken to ER; 12AUG91 mom reported pt was admitted, t39.4, unresponsive, hard to arouse & limp, pain, vomit; MD felt allerg react to Pertussis;


VAERS ID: 35278 (history)  
Form: Version 1.0  
Age: 2.0  
Sex: Female  
Location: Washington  
Vaccinated:1991-08-27
Onset:1991-08-30
   Days after vaccination:3
Submitted: 1991-09-03
   Days after onset:4
Entered: 1991-10-08
   Days after submission:35
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0M11055 / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. 841212 / 1 RA / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1710S / 1 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), 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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: DNA~ ()~~~In patient
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type: WA91620

Write-up: 1PM 30AUG91 mom described "hives" on PT''s legs that doubled in size & number "in 10 min"; TC to MD; MD rx''d DPH & cortisone cream; mom denied diffuculty breathing & other symptoms; 5PM PT to ofc; MD states hives nearly resolved;


VAERS ID: 35511 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Male  
Location: Pennsylvania  
Vaccinated:1991-03-12
Onset:1991-03-15
   Days after vaccination:3
Submitted: 1991-06-12
   Days after onset:88
Entered: 1991-10-15
   Days after submission:125
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M565FP / 2 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. 841122 / 3 RL / SC

Administered by: Private       Purchased by: Private
Symptoms: Convulsion, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: negative;
CDC Split Type:

Write-up: On 14MAR91, devel sudden onset of high fever up to 103.7, convuls generalized for 2-3 minutes;


VAERS ID: 35555 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Michigan  
Vaccinated:1991-07-16
Onset:1991-07-18
   Days after vaccination:2
Submitted: 1991-07-18
   Days after onset:0
Entered: 1991-10-18
   Days after submission:92
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. 841122 / 1 RL / SC

Administered by: Public       Purchased by: Public
Symptoms: Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (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? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: sister has egg allergy-MMR not given;~ ()~~~In Sibling
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: MI9186

Write-up: 18JUL91 7AM hives, none @ 5AM, slight rash on face; hives persisted into PM; checked by MD no tx;


VAERS ID: 36379 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Male  
Location: Arkansas  
Vaccinated:1991-02-26
Onset:1991-02-27
   Days after vaccination:1
Submitted: 1991-05-08
   Days after onset:69
Entered: 1991-11-14
   Days after submission:190
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 293950 / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M655FB / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. 841222 / 2 RA / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1699S / 1 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: AR9129

Write-up: Fever of 106.4F;


VAERS ID: 36403 (history)  
Form: Version 1.0  
Age: 1.4  
Sex: Female  
Location: Arkansas  
Vaccinated:1991-08-20
Onset:1991-08-22
   Days after vaccination:2
Submitted: 1991-08-22
   Days after onset:0
Entered: 1991-11-14
   Days after submission:84
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 298913 / 4 RA / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M180HE / 1 LA / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. 841222 / 3 LL / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0877T / 1 RA / SC

Administered by: Public       Purchased by: Public
Symptoms: Dermatitis bullous
SMQs:, Severe cutaneous adverse reactions (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: AR9153

Write-up: Mom noted 7-8 small blisters on rt deltoid area & one on rt forearm on 21AUG91;


VAERS ID: 36701 (history)  
Form: Version 1.0  
Age: 31.0  
Sex: Female  
Location: Minnesota  
Vaccinated:1991-10-24
Onset:1991-10-24
   Days after vaccination:0
Submitted: 1991-11-21
   Days after onset:28
Entered: 1991-12-02
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0083 / UNK - / SC A
YF: YELLOW FEVER (YF-VAX) / CONNAUGHT LABORATORIES IE21039 / 1 - / SC A

Administered by: Public       Purchased by: Public
Symptoms: Bradycardia, Dizziness, Hyperhidrosis, Hypotonia, Stupor, Tooth disorder, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (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: Pt fainted following prior vaccinations;~ ()~~~In patient
Other Medications: BCP;
Current Illness: NONE
Preexisting Conditions: NONE (Prior hx of fainting p/immunizations)
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: MN91051

Write-up: 2-3min p/vaxs, pt felt lightheaded, rolled head to side & was unresponsive, ground teeth & grunted, slumped in chair, slow pulse & very cold & clammy; revived w/ammonia capsule; copious vomiting for 10min; had to lie down for 30min;


VAERS ID: 36729 (history)  
Form: Version 1.0  
Age: 23.0  
Sex: Female  
Location: California  
Vaccinated:1991-11-22
Onset:1991-11-22
   Days after vaccination:0
Submitted: 1991-11-27
   Days after onset:5
Entered: 1991-12-02
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. 84223 / 1 - / IM

Administered by: Military       Purchased by: Military
Symptoms: Pruritus, Rash
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? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Pt recvd flu vax lot# 1J21118 on 11OCT91; Motrin, Oral contrac
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Pt w/onset of generalized itching, erythema 1hr p/inject of IPV; had OPV in past; tx w/DPH;


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