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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 5 out of 7,611

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VAERS ID: 39620 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Idaho  
Vaccinated:1991-08-26
Onset:1991-08-26
   Days after vaccination:0
Submitted: 1992-02-13
   Days after onset:171
Entered: 1992-02-21
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1M11009 / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M130HA / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. 841223 / 1 LL / SC

Administered by: Public       Purchased by: Public
Symptoms: Screaming
SMQs:, Hostility/aggression (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: NONE
CDC Split Type: ID92012

Write-up: Unconsoleable crying for 5 hrs following administration of vax; no inc temp noted;


VAERS ID: 39772 (history)  
Form: Version 1.0  
Age: 49.0  
Sex: Male  
Location: Georgia  
Vaccinated:1992-01-16
Onset:1992-01-26
   Days after vaccination:10
Submitted: 1992-02-25
   Days after onset:30
Entered: 1992-03-03
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G01031 / UNK UN / SC
MEN: MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABORATORIES 1F31063 / UNK UN / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 1K31145 / UNK UN / IM
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD. 120602A / UNK MO / PO
YF: YELLOW FEVER (YF-VAX) / CONNAUGHT LABORATORIES 1L21002 / UNK UN / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asthenia, CSF test abnormal, Diplopia, Guillain-Barre syndrome, Headache
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Ocular motility disorders (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Began Lariam (Mefloquine) on 26JAN92;
Current Illness: NONE
Preexisting Conditions: hx of endocarditis 1986
Allergies:
Diagnostic Lab Data: inc protein on spinal tap;
CDC Split Type:

Write-up: Following vax pt began to exp h/a; woke am of 27JAN92 w/severe h/a & diplopia; Seen by MD then went to hos for MRI, sp tap & lab work; 28JAN92 sx continued began having weakness; pt adm to hosp & given steroid therapy; cont to have diplopia


VAERS ID: 40033 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Male  
Location: Pennsylvania  
Vaccinated:1991-11-18
Onset:1991-11-18
   Days after vaccination:0
Submitted: 1991-11-21
   Days after onset:3
Entered: 1992-03-09
   Days after submission:109
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 308924 / 2 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M650HD / 2 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. 841212 / 2 RL / IM

Administered by: Private       Purchased by: Public
Symptoms: Agitation, Anorexia, Cough, Crying, Infection, Pharyngitis, Pyrexia, Screaming
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal infections (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Depression (excl suicide and self injury) (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: unk~ ()~~~In patient
Other Medications: APAP
Current Illness: NONE
Preexisting Conditions: in process of being evaluated for poss congenital immunodeficiency
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: PA91367

Write-up: Pt devel high pitched crying approx 5 hrs p/receipt of immun; Also had high fever to 104; irritability, dec feeding; day p/devel URI w/fever; Seen in ER 20NOV for cough; dx viral URI & rxn to Pertussis;


VAERS ID: 40068 (history)  
Form: Version 1.0  
Age: 66.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:1991-09-09
Onset:1991-09-11
   Days after vaccination:2
Submitted: 1991-12-30
   Days after onset:110
Entered: 1992-03-09
   Days after submission:70
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. 841212 / UNK RA / SC
TD: TD ADSORBED (NO BRAND NAME) / SCLAVO 136A2 / UNK LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 908083 / UNK RA / SC

Administered by: Public       Purchased by: Public
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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: PPD by Connaught lot# 232012 ID lt arm
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: PA924

Write-up: Rash on arms, inner thighs & hands; itchy; lasted 2 days;


VAERS ID: 41271 (history)  
Form: Version 1.0  
Age: 0.7  
Sex: Male  
Location: Idaho  
Vaccinated:1992-03-31
Onset:1992-03-31
   Days after vaccination:0
Submitted: 1992-04-07
   Days after onset:6
Entered: 1992-04-20
   Days after submission:13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 310966 / 2 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M660HH / 2 RL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0100 / 2 RL / SC

Administered by: Public       Purchased by: Public
Symptoms: 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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: ID92026

Write-up: The evening immun were administered pt devel inc temp 104-105 & cried all noc; elevated temp between 102-104 continued for next 72 hrs;


VAERS ID: 41343 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Male  
Location: Minnesota  
Vaccinated:1992-03-30
Onset:1992-03-31
   Days after vaccination:1
Submitted: 1992-04-09
   Days after onset:8
Entered: 1992-04-20
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1F31022 / 2 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M130HJ / 2 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. G0123 / 2 RL / IM

Administered by: Private       Purchased by: Private
Symptoms: Convulsion, Gaze palsy, Pyrexia, Stupor
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Ocular motility disorders (narrow), 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? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Amoxicilling
Current Illness: URI/mee
Preexisting Conditions: irritable lethargic infant r/o sepsis; hosp 13NOV-16NOV all neg;
Allergies:
Diagnostic Lab Data: EEG-neg;
CDC Split Type:

Write-up: Rolled back eyes & tonic-clonic movements (seizure) followed by sleep, low grade fever;


VAERS ID: 41634 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Iowa  
Vaccinated:1992-02-18
Onset:1992-02-18
   Days after vaccination:0
Submitted: 1992-04-22
   Days after onset:63
Entered: 1992-04-29
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 312935 / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M665H4 / 1 - / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER 314945 / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Screaming
SMQs:, Hostility/aggression (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: congested, nasal
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Pt cried x 3 hrs mom was not able to console; no tx @ time of incident;


VAERS ID: 41664 (history)  
Form: Version 1.0  
Age: 2.0  
Sex: Male  
Location: Washington  
Vaccinated:1992-03-30
Onset:1992-03-30
   Days after vaccination:0
Submitted: 1992-03-30
   Days after onset:0
Entered: 1992-04-30
   Days after submission:30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 320905 / 4 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0103 / 3 RL / SC

Administered by: Public       Purchased by: Public
Symptoms: Agitation, Injection site hypersensitivity, Injection site oedema
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? 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: NONE
CDC Split Type: WA92703

Write-up: Pt continued to be very fussy from time of administration; About 12noon started w/reddened area around vax area; took pt to MD, gave APAP;


VAERS ID: 41668 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Female  
Location: Washington  
Vaccinated:1992-04-14
Onset:1992-04-14
   Days after vaccination:0
Submitted: 1992-04-20
   Days after onset:6
Entered: 1992-04-30
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 320905 / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M570HJ / 2 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. G0103 / 2 LL / SC

Administered by: Public       Purchased by: Public
Symptoms: Agitation, Insomnia, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), 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: ~ ()~~~In patient
Other Medications: Apnea monitor
Current Illness: NONE
Preexisting Conditions: premature infant on a monitor for apnea spells
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: WA92707

Write-up: Pt started fussing about 2 hrs p/recvd vax; parents gave small dose of APAP; t100 r p/2-3 hrs of fussing, pt could not be comforted; phoned MD, said inc APAP; pt had restless night but was much better the next day & seemed OK 2 days later;


VAERS ID: 41721 (history)  
Form: Version 1.0  
Age:   
Sex: Male  
Location: California  
Vaccinated:1992-03-25
Onset:1992-03-25
   Days after vaccination:0
Submitted: 1992-04-27
   Days after onset:32
Entered: 1992-05-04
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0102 / 2 - / SC
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD. 122401A / 1 MO / PO
YF: YELLOW FEVER (YF-VAX) / CONNAUGHT LABORATORIES 1J21144 / 1 - / SC

Administered by: Private       Purchased by: Private
Symptoms: Eosinophilia, Hepatic function abnormal, Pulmonary oedema, Pyrexia, Rash, Rash maculo-papular, Urticaria
SMQs:, Cardiac failure (narrow), Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: PRN Voltaren
Current Illness: poss dry cough
Preexisting Conditions: Osteoarthritis-hands, Hep B no responder
Allergies:
Diagnostic Lab Data: CXR w/patching infiltrates; WBC - 7,000 w/64S, 20 BANDS, 6L, 5M, 5 EOSIN''s
CDC Split Type:

Write-up: t104 w/maculopapular rash starting about 12 hrs p/vax recvd; skin Bx -$g subacute urticarial & superficial perivascular dermatitis w/Eosinophilia; 30MAR inc liver function tests;


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