Found 69320 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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Table

Age	Vaccine Count	Count	Percent
< 3 Years	1	2560	3.69%
	2	5820	8.4%
	3	11972	17.27%
	4	12509	18.05%
	5	2987	4.31%
	6	654	0.94%
	7	65	0.09%
	8	13	0.02%
	9	1	0%
	total	36581	52.77%
3-6 Years	1	1303	1.88%
	2	4396	6.34%
	3	11146	16.08%
	4	5785	8.35%
	5	1054	1.52%
	6	151	0.22%
	7	18	0.03%
	8	4	0.01%
	total	23857	34.42%
6-9 Years	1	206	0.3%
	2	320	0.46%
	3	536	0.77%
	4	295	0.43%
	5	85	0.12%
	6	15	0.02%
	7	4	0.01%
	total	1461	2.11%
9-12 Years	1	73	0.11%
	2	91	0.13%
	3	117	0.17%
	4	114	0.16%
	5	52	0.08%
	6	21	0.03%
	7	4	0.01%
	8	3	0%
	total	475	0.69%
12-17 Years	1	107	0.15%
	2	144	0.21%
	3	147	0.21%
	4	179	0.26%
	5	93	0.13%
	6	52	0.08%
	7	28	0.04%
	8	10	0.01%
	9	2	0%
	total	762	1.1%
17-44 Years	1	143	0.21%
	2	301	0.43%
	3	396	0.57%
	4	346	0.5%
	5	173	0.25%
	6	90	0.13%
	7	32	0.05%
	8	20	0.03%
	9	3	0%
	total	1504	2.17%
44-65 Years	1	92	0.13%
	2	165	0.24%
	3	181	0.26%
	4	130	0.19%
	5	79	0.11%
	6	31	0.04%
	7	5	0.01%
	8	2	0%
	9	1	0%
	10	1	0%
	total	687	0.99%
65-75 Years	1	16	0.02%
	2	31	0.04%
	3	32	0.05%
	4	30	0.04%
	5	12	0.02%
	6	4	0.01%
	7	1	0%
	total	126	0.18%
75+ Years	1	9	0.01%
	2	11	0.02%
	3	8	0.01%
	4	4	0.01%
	5	2	0%
	6	1	0%
	total	35	0.05%
Unknown	1	941	1.36%
	2	908	1.31%
	3	1168	1.68%
	4	595	0.86%
	5	164	0.24%
	6	34	0.05%
	7	11	0.02%
	8	9	0.01%
	9	1	0%
	10	1	0%
	total	3832	5.53%
TOTAL		69320	100%

Case Details

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VAERS ID: 26790 (history)   Form: Version 1.0   Age: 0.3   Sex: Male   Location: Maryland   Vaccinated: 1990-04-11 Onset: 1990-04-11    Days after vaccination: 0 Submitted: 0000-00-00 Entered: 1990-11-26 Vaccin­ation / Manu­facturer Lot / Dose Site / Route DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES - / UNK - / - IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. - / UNK - / - Administered by: Unknown       Purchased by: Unknown Symptoms: Convulsion SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (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: Current Illness: Preexisting Conditions: No personal or family hx of convulsions. Allergies: Diagnostic Lab Data: CDC Split Type: 900107201 Write-up: Pt vaccinated with DTP and IPV and developed two convulsions. Unspecified focal neurologic signs & could not cry. LP normal.

VAERS ID: 27114 (history)   Form: Version 1.0   Age: 0.7   Sex: Male   Location: Wisconsin   Vaccinated: 1990-10-24 Onset: 1990-10-24    Days after vaccination: 0 Submitted: 1990-10-31    Days after onset: 7 Entered: 1990-12-18    Days after submission: 48 Vaccin­ation / Manu­facturer Lot / Dose Site / Route DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 268912 / 2 LL / IM IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. 841022 / 2 RL / SC Administered by: Public       Purchased by: Public Symptoms: Agitation, Bronchitis, Pain, Pneumonia, Pyrexia, Rhinitis SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (narrow) 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: Current Illness: Preexisting Conditions: very mild cold symptoms Allergies: Diagnostic Lab Data: CDC Split Type: WI90042 Write-up: Pt vaccinated w/DTP/IPV developed temp 100, cried 45 min constantly after receiving inject continued crying at intervals until afternoon especially when moved. Lt leg pain. Also, developed cold symptoms, possible bronchitis or pneumonia.

VAERS ID: 27604 (history)   Form: Version 1.0   Age: 0.5   Sex: Male   Location: California   Vaccinated: 1991-01-07 Onset: 1991-01-07    Days after vaccination: 0 Submitted: 1991-01-23    Days after onset: 16 Entered: 1991-01-28    Days after submission: 5 Vaccin­ation / Manu­facturer Lot / Dose Site / Route DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0G11097 / 2 RL / - IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. 841122 / 1 LL / - Administered by: Private       Purchased by: Private Symptoms: Injection site reaction, 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? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Recent DEC90 Bronchiolitis Allergies: Diagnostic Lab Data: CDC Split Type: Write-up: Pt vax w/DTP/IPV developed fever to 102 approx 12 hrs /p shot. Seen next day temp 99(ax). 3.5cm erythema, induration at inject site.

VAERS ID: 28130 (history)   Form: Version 1.0   Age: 3.0   Sex: Male   Location: Georgia   Vaccinated: 1990-04-10 Onset: 1990-04-10    Days after vaccination: 0 Submitted: 0000-00-00 Entered: 1991-02-11 Vaccin­ation / Manu­facturer Lot / Dose Site / Route DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 256962 / UNK - / - IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. 841012 / UNK - / - Administered by: Unknown       Purchased by: Unknown Symptoms: Diarrhoea, Malaise, Pyrexia, Rash, Vomiting SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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? Yes Office Visit? No ER Visit? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: No illness following 2 previous immunizations Allergies: Diagnostic Lab Data: CDC Split Type: 900162810 Write-up: CDC reports: 4 yo child developed fever 103, rash, diarrhea, vomiting & malaise following DTP/EIPV immun. Duration of illness 2 days.

VAERS ID: 28903 (history)   Form: Version 1.0   Age: 1.4   Sex: Male   Location: Pennsylvania   Vaccinated: 1991-02-05 Onset: 1991-02-05    Days after vaccination: 0 Submitted: 1991-02-06    Days after onset: 1 Entered: 1991-03-08    Days after submission: 30 Vaccin­ation / Manu­facturer Lot / Dose Site / Route DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 293948 / 4 RL / IM IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. 841028 / 3 LL / SC Administered by: Public       Purchased by: Public Symptoms: Asthenia, Otitis media, Pruritus, Pyrexia, Urticaria SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre 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? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: NONE~ ()~~~In patient Other Medications: Current Illness: "runny nose from teething" Preexisting Conditions: NONE Allergies: Diagnostic Lab Data: 7FEB91 @ ER second visit - XRAY & Blood Work CDC Split Type: PA9160 Write-up: 5FEB91 rash described as hives developed. To ER - Benedryl; had elevated temp during day - not measured; responded to Tylenol; 6FEb91 Benedryl stopped itching-rash con''t-temp up & down all day - 103R. Weak; OM dx.

VAERS ID: 29292 (history)   Form: Version 1.0   Age: 0.2   Sex: Male   Location: Maryland   Vaccinated: 1991-02-25 Onset: 1991-02-25    Days after vaccination: 0 Submitted: 1991-03-13    Days after onset: 16 Entered: 1991-03-22    Days after submission: 9 Vaccin­ation / Manu­facturer Lot / Dose Site / Route DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0C21045 / 1 - / IM HIBV: HIB (HIBTITER) / PFIZER/WYETH M560FP / 1 - / IM IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. 841024 / 1 - / IM Administered by: Private       Purchased by: Unknown Symptoms: Crying, Screaming SMQs:, Hostility/aggression (broad), Depression (excl suicide and self injury) (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: none Preexisting Conditions: none Allergies: Diagnostic Lab Data: none CDC Split Type: MD91028 Write-up: Pt had unconsolable crying episode lasting more than 3 hrs. Drs encouraged parents to keep pt on Tylenol q4h due to unusual & high pitched crying spells that wk (25Feb-29Feb)

VAERS ID: 29797 (history)   Form: Version 1.0   Age: 0.6   Sex: Male   Location: Georgia   Vaccinated: 1991-02-22 Onset: 1991-03-04    Days after vaccination: 10 Submitted: 1991-03-05    Days after onset: 1 Entered: 1991-04-08    Days after submission: 33 Vaccin­ation / Manu­facturer Lot / Dose Site / Route DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271965 / 2 RL / IM HIBV: HIB (HIBTITER) / PFIZER/WYETH M210EP / 1 LL / IM IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. 841024 / 2 RA / SC Administered by: Public       Purchased by: Public Symptoms: Agitation, Cough, Otitis media SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (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: Well Preexisting Conditions: NONE Allergies: Diagnostic Lab Data: CDC Split Type: GA9137 Write-up: Immun given 22FEB91 infant well @ that time;4MAR91 AM when mom noted child became "croupy sounding & fussy" no fever to MD dx w/ear infect mom reported MD vs she remembered this from informal consent form;

VAERS ID: 30355 (history)   Form: Version 1.0   Age: 0.5   Sex: Male   Location: California   Vaccinated: 1991-01-28 Onset: 0000-00-00 Submitted: 1991-03-19 Entered: 1991-05-09    Days after submission: 50 Vaccin­ation / Manu­facturer Lot / Dose Site / Route DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0F11073 / 3 LL / IM IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. - / UNK MO / PO Administered by: Military       Purchased by: Military 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: NONE~ ()~~~In patient Other Medications: NONE Current Illness: NONE Preexisting Conditions: NONE Allergies: Diagnostic Lab Data: NONE CDC Split Type: Write-up: Urticarial rash - hives trunk & neck;

VAERS ID: 30860 (history)   Form: Version 1.0   Age: 0.3   Sex: Female   Location: Pennsylvania   Vaccinated: 1991-04-22 Onset: 1991-04-22    Days after vaccination: 0 Submitted: 1991-05-09    Days after onset: 17 Entered: 1991-05-28    Days after submission: 19 Vaccin­ation / Manu­facturer Lot / Dose Site / Route DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0B21044 / 2 LL / IM HIBV: HIB (HIBTITER) / PFIZER/WYETH M115HA / 2 RL / IM IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. 841212 / 2 - / SC A Administered by: Private       Purchased by: Private Symptoms: Agitation, 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? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: NONE Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: Write-up: Fever to 106 & mild irritability several hrs p/immun; Given acetaminophen; In office the following morning temp 101, exam otherwise normal;

VAERS ID: 30903 (history)   Form: Version 1.0   Age: 0.4   Sex: Male   Location: Michigan   Vaccinated: 1991-05-06 Onset: 1991-05-07    Days after vaccination: 1 Submitted: 1991-05-09    Days after onset: 2 Entered: 1991-05-30    Days after submission: 21 Vaccin­ation / Manu­facturer Lot / Dose Site / Route DTP: DTP (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH TR1212B / 1 LL / IM IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. 841122 / 1 RL / SC Administered by: Public       Purchased by: Public Symptoms: Agitation SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Hypoglycaemia (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: Alupent 2cc (10mg/5ml) TID Current Illness: NONE Preexisting Conditions: asthma Allergies: Diagnostic Lab Data: CDC Split Type: MI9135 Write-up: Day p/vax pt became extremely irritable, screaming & holding his head, finger nails digging into his face & eye where he attempted to hold his face; Was bothered by noise; Also could not be comforted;

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