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From the 4/30/2021 release of VAERS data:

Found 22,474 cases where Vaccine is DPIPV or DPP or DTAP or DTAPH or DTAPHEPBIP or DTAPIPV or DTAPIPVHIB or DTP or DTPHEP or DTPHIB or DTPIHI or DTPIPV or DTPPHIB or PER or TDAP and Serious and Submission Date on/before '2015-09-30'



Case Details

This is page 16 out of 2,248

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VAERS ID: 26947 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Colorado  
Vaccinated:1990-09-21
Onset:1990-10-05
   Days after vaccination:14
Submitted: 1990-12-03
   Days after onset:59
Entered: 1990-12-10
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0D21154 / 1 LL / IM
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0A21155 / 1 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 277945 / 1 MO / PO

Administered by: Private       Purchased by: Other
Symptoms: Skin disorder
SMQs:

Life Threatening? Yes
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: Pt also recd a phase III clinical trial vax, a HIB vax conjugated w/diphtheria toxoid;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Skin Biopsy - Morphea
CDC Split Type:

Write-up: Pt vaccinated with DTP/HIB/OPV 2 wks after vaccine administration developed generalized Morphea. Further exams pending.


VAERS ID: 26966 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Male  
Location: Iowa  
Vaccinated:1990-08-22
Onset:1990-08-22
   Days after vaccination:0
Submitted: 1990-10-31
   Days after onset:70
Entered: 1990-12-11
   Days after submission:41
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 283912 / 1 - / IM L
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 283947 / 1 MO / PO

Administered by: Private       Purchased by: Other
Symptoms: Agitation, Asthma, Cough, Crying, Cyanosis, Diarrhoea, Influenza, Pharyngitis, Pyrexia, Rash, Screaming, Vasodilatation, Vomiting
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Agranulocytosis (broad), Asthma/bronchospasm (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Oropharyngeal infections (narrow), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Pertussis - Negative
CDC Split Type:

Write-up: Pt vaccinated with DTP/OPV experienced cough, temp, screaming, diarrhea, rash, probably flu, asthma or allergic reactions, fussy, flushed,and screaming. See WORM for all details.


VAERS ID: 26977 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Male  
Location: South Dakota  
Vaccinated:1990-11-29
Onset:1990-11-29
   Days after vaccination:0
Submitted: 1990-12-07
   Days after onset:8
Entered: 1990-12-13
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0M11127 / 3 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0618M / 3 MO / PO

Administered by: Military       Purchased by: Military
Symptoms: Hypotonia, Stupor, Syncope
SMQs:, Torsade de pointes/QT prolongation (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), Cardiomyopathy (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? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Tylenol
Current Illness:
Preexisting Conditions: cow''s milk formula in tolerance
Allergies:
Diagnostic Lab Data: N/CBC, Lytes, BUN, Creat, Gluc; EEG - pending
CDC Split Type:

Write-up: Pt vaccinated w/DTP/OPV 30mins after shot, pt appeared to "pass out". Was limp & unresponsive, no apnea, bradycardia associated, had good peripheral perfusion. Pt recovered within 20-30min.


VAERS ID: 26989 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: New Jersey  
Vaccinated:1990-11-27
Onset:1990-11-27
   Days after vaccination:0
Submitted: 1990-12-07
   Days after onset:10
Entered: 1990-12-14
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 262915 / 1 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 279937 / 1 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Apnoea, Cyanosis, Hypokinesia, Pallor, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad), Respiratory failure (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? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Slight congenital deformity of rt nasalala
Allergies:
Diagnostic Lab Data: Pneumogram, EEG, & EKG all normal; Blood studies -normal
CDC Split Type:

Write-up: Pt vaccinated with DTP/OPV 2 hrs later lips turned blue, skin pale, questionable brief period of apnea, hyporesponsive, temp 100.6(R). Treated w/O2 & Tylenol. Quickly improved admitted to hosp for observation.


VAERS ID: 26994 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Pennsylvania  
Vaccinated:1990-11-20
Onset:1990-11-22
   Days after vaccination:2
Submitted: 1990-12-06
   Days after onset:14
Entered: 1990-12-14
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 285915 / 1 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 277949 / 1 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Apnoea, Sudden infant death syndrome
SMQs:, Acute central respiratory depression (narrow), Neonatal disorders (narrow), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1990-11-22
   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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: PA907

Write-up: Pt vaccinated with DTP/OPV child in bed w/parents - not breathing - taken to ER Indiana. Autopsy done - Dx SIDS


VAERS ID: 26998 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Female  
Location: North Carolina  
Vaccinated:1990-11-02
Onset:1990-11-04
   Days after vaccination:2
Submitted: 1990-11-06
   Days after onset:2
Entered: 1990-12-14
   Days after submission:38
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 285919 / 4 LL / IM
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0A21092 / 1 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0696S / 1 RA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0613K / 3 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Agitation, Asthma, Bronchiolitis, Pyrexia
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Interstitial lung disease (narrow), 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), Hypersensitivity (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: NC90005

Write-up: Pt vaccinated with DTP/OPV/MMR/HIB became irritable, crying, wheezing, fever 101, Taken to ER; breathing was stabilized transferred to another hosp dx bronchiolitis not believed to be vaccine related.


VAERS ID: 27058 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Female  
Location: Montana  
Vaccinated:1990-11-06
Onset:1990-11-06
   Days after vaccination:0
Submitted: 1990-12-12
   Days after onset:36
Entered: 1990-12-17
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271967 / 1 RL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 283925 / 1 MO / PO

Administered by: Other       Purchased by: Private
Symptoms: Agitation, Anorexia, Grand mal convulsion, Pyrexia, Salivary hypersecretion, Stupor
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (narrow), Dementia (broad), Convulsions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CSF- negative protein & glucose had 20 WBC - Neg Bact. Culture
CDC Split Type:

Write-up: Pt vaccinated with DTP/OPV developed low grade temp, fussy, parents noted staring, poor eating, "bubbling" at mouth then 1-4 min grand mal seizure. TX 0 barb.


VAERS ID: 27059 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Washington  
Vaccinated:1990-12-03
Onset:1990-12-04
   Days after vaccination:1
Submitted: 1990-12-12
   Days after onset:8
Entered: 1990-12-17
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 289901 / 1 - / IM L
HIBV: HIB (HIBTITER) / PFIZER/WYETH MI90FD / 1 - / L
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 291966 / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Cardiac arrest, Coagulopathy, Convulsion
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Haemorrhage laboratory terms (broad), Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Convulsions (narrow), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Generalised convulsive seizures following immunisation (narrow), Respiratory failure (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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: heart murmur
Allergies:
Diagnostic Lab Data: Can be obtained at Valley Medical Center, Renton WA, or at Children''s Orthopedic Hospital.
CDC Split Type:

Write-up: Pt vaccinated with DTP/OPV/HIB developed desiminated intravascular coagulation, emergency resuscitation. Under Intensive care.


VAERS ID: 27066 (history)  
Form: Version 1.0  
Age: 0.7  
Sex: Male  
Location: Minnesota  
Vaccinated:1990-12-03
Onset:1990-12-03
   Days after vaccination:0
Submitted: 1990-12-07
   Days after onset:4
Entered: 1990-12-17
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0B21173 / 3 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M635FC / 1 RL / IM

Administered by: Private       Purchased by: Private
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? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Lanoxin, Augmentin, Lasix, Ventolin
Current Illness:
Preexisting Conditions: Complex cyanotic heart anomaly, asplenia, otitis
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt vaccinated with DTP/HIB developed temp to 105(R).


VAERS ID: 27074 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Female  
Location: Mississippi  
Vaccinated:1990-11-15
Onset:1990-11-15
   Days after vaccination:0
Submitted: 1990-11-19
   Days after onset:4
Entered: 1990-12-17
   Days after submission:28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 285967 / 4 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0016S / 1 RL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 283939 / 3 MO / PO

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? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: MS904

Write-up: Pt vaccinated w/DTP/OPV/MMR developed temp during night after injection called clinic referred to ER. admitted to hosp & placed under seizure precautions.


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