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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 4 out of 7,611

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VAERS ID: 37799 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Georgia  
Vaccinated:1991-02-15
Onset:1991-02-15
   Days after vaccination:0
Submitted: 1991-02-18
   Days after onset:3
Entered: 1991-12-06
   Days after submission:291
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 293948 / UNK LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M640FN / UNK RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. 841122 / UNK RA / SC

Administered by: Public       Purchased by: Public
Symptoms: Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: GA91316

Write-up: To ER 630PM same day immun given t105 checked & sent home; took pt back 230AM fever 105 vomited; Seen by MD next day t102-104, fever lasted until Tuesday;


VAERS ID: 37992 (history)  
Form: Version 1.0  
Age: 25.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:1991-11-20
Onset:1991-11-29
   Days after vaccination:9
Submitted: 1991-12-06
   Days after onset:7
Entered: 1991-12-16
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. C1144 / UNK LA / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1154T / UNK RA / SC

Administered by: Other       Purchased by: Unknown
Symptoms: Lymphadenopathy, Pyrexia, Rash maculo-papular
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

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: 2DEC WBC 4.8;11-S;28-B;5-E,25-L;21-ATYP;9-M,PH-193000; Monospot neg x 2, 2DEC, 6DEC, CBC, diff; 6DEC WBC 10.3, 27-S, 9-B, 4-E, 0-B, 20-L, 33-ATXP, 7-M, PH-257000;
CDC Split Type:

Write-up: Fever, rash (diffuse, morbilliform), cervical adenopathy; t39C 29NOV; rash 1DEC resolved spontaneously;


VAERS ID: 38098 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Female  
Location: Florida  
Vaccinated:1991-10-09
Onset:1991-10-10
   Days after vaccination:1
Submitted: 1991-10-10
   Days after onset:0
Entered: 1991-12-23
   Days after submission:74
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 298916 / 4 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M580HC / 3 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. 841223 / 3 LL / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2267S / 1 RL / SC

Administered by: Public       Purchased by: Public
Symptoms: Bronchitis, Diarrhoea, Pyrexia, Rhinitis
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications:
Current Illness: 2OCT81 resolved BOM, stomatitis
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: FL91066

Write-up: 9OCT91 7PM t103 R; 4AM 10-10 104F R 7AM; 10OCT91 t105F R; no other sx other than runny nose; pt was seen @ clinic w/ t105.3; no signs of illness other than diarrhea & runny nose; dx Bronchitis & pyrexia;


VAERS ID: 38922 (history)  
Form: Version 1.0  
Age: 41.0  
Sex: Female  
Location: California  
Vaccinated:1991-08-06
Onset:1991-08-06
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1992-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. C1144 / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Anorexia, Asthenia, Myalgia, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (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: NONE
Current Illness: NONE
Preexisting Conditions: No allergies;
Allergies:
Diagnostic Lab Data:
CDC Split Type: CO3919

Write-up: Very tired, achy, no appetite, arm really hurt;


VAERS ID: 38835 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Male  
Location: Kentucky  
Vaccinated:1991-12-30
Onset:1991-12-31
   Days after vaccination:1
Submitted: 1991-12-31
   Days after onset:0
Entered: 1992-01-16
   Days after submission:16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1E21031 / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M165FH / 2 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0080 / 2 LA / SC

Administered by: Private       Purchased by: Private
Symptoms: Crying, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Depression (excl suicide and self injury) (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: NONE
Current Illness: NONE
Preexisting Conditions: Nystagmus
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Mom states pt awoke w/a hard cry @ 4AM high pitched cry for @ least 10 min @ the most & fever 104; pt given Tempra & bathed in lukewarm bath till fever reduced; @ 830AM fever was 101;


VAERS ID: 39082 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Female  
Location: Pennsylvania  
Vaccinated:1992-01-23
Onset:1992-01-23
   Days after vaccination:0
Submitted: 1992-01-23
   Days after onset:0
Entered: 1992-01-27
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 304922 / 2 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M180HH / 2 RL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0123 / 1 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Agitation, Crying, Stupor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Depression (excl suicide and self injury) (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: pt exp similar rxn w/1st immun;~ ()~~~In patient
Other Medications: Fluoride
Current Illness: NA
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: Mom reports a high pitched screaming episode which lasted 15-30 min p/which pt calmed; pt would cry out but would not wake for approx 1 hr;


VAERS ID: 39306 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Female  
Location: South Carolina  
Vaccinated:1992-01-09
Onset:1992-01-10
   Days after vaccination:1
Submitted: 1992-01-27
   Days after onset:17
Entered: 1992-02-03
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 306927 / 4 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M180HH / 4 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0123 / 3 LA / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0929T / 1 RA / SC

Administered by: Public       Purchased by: Unknown
Symptoms: Pyrexia, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (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: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: SC92014

Write-up: 10 hrs p/recvd DTP began shaking duration 5-10 mins; occurred again 1AM; seen by MD 10JAN92 no problem found t102.4;


VAERS ID: 39323 (history)  
Form: Version 1.0  
Age: 2.0  
Sex: Female  
Location: Michigan  
Vaccinated:1992-01-06
Onset:1992-01-06
   Days after vaccination:0
Submitted: 1992-01-08
   Days after onset:2
Entered: 1992-02-04
   Days after submission:27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH TR1217A / 4 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0080 / 1 RL / SC

Administered by: Public       Purchased by: Public
Symptoms: Oedema, Pain
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: MI92005

Write-up: On 6JAN92 pt recvd IPV/DTP & on 6JAN92 lt leg swollen & tender; Swelling described as 4" long & 2" wide & about 1/2" raised; Rt leg also becam swollen on 7JAN92;


VAERS ID: 39325 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Female  
Location: Michigan  
Vaccinated:1992-01-10
Onset:1992-01-10
   Days after vaccination:0
Submitted: 1992-01-13
   Days after onset:3
Entered: 1992-02-04
   Days after submission:22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH TR1217A / 2 RL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0080 / 1 LL / SC

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

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: MI92007

Write-up: Immediately p/inject of IPV/lt leg became bright red from 1" above inject site lt thigh to 2" below knee; also had bright red area around lateral ankle measuring 2" diameter & area remained bright red x 15mins;


VAERS ID: 39381 (history)  
Form: Version 1.0  
Age: 3.0  
Sex: Male  
Location: New Jersey  
Vaccinated:1992-02-04
Onset:1992-02-04
   Days after vaccination:0
Submitted: 1992-02-04
   Days after onset:0
Entered: 1992-02-07
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1E21031 / 4 - / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0083 / 1 - / SC

Administered by: Private       Purchased by: Private
Symptoms: Agitation, Chills, Cyanosis, Dyspnoea, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Cardiomyopathy (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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: juvenile rheumatoid arthritis
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 45min p/vax were given pt started crying & shivering, then seemed to have shaking chills & turned blue gasping respiration; this lasted approx 10 & 15 min taken to ER & was basically asymptomatic;


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