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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 17 out of 2,248

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VAERS ID: 27075 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: New Hampshire  
Vaccinated:1990-12-05
Onset:1990-12-05
   Days after vaccination:0
Submitted: 1990-12-10
   Days after onset:5
Entered: 1990-12-17
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 285919 / 1 - / IM L
HIBV: HIB (HIBTITER) / PFIZER/WYETH M635FC / 1 - / IM L
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0626M / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Apnoea, Cyanosis, Malaise, Stupor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Respiratory failure (narrow), Hypoglycaemia (broad)

Life Threatening? Yes
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: Vitamins w/fluoride
Current Illness:
Preexisting Conditions: colic
Allergies:
Diagnostic Lab Data: CBC w/diff, pneumogram, SMA6, echocardiogram.
CDC Split Type: NH9000093

Write-up: Pt vaccinated with OPV/DTP/HIB given vaccination at 10AM, 2:30 PM had episode of cyanosis listlessness, unarousable, CPR administered by Mom - not breathing briefly.


VAERS ID: 27096 (history)  
Form: Version 1.0  
Age: 5.0  
Sex: Female  
Location: Montana  
Vaccinated:1990-11-14
Onset:1990-11-28
   Days after vaccination:14
Submitted: 1990-12-10
   Days after onset:12
Entered: 1990-12-18
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271961 / 1 LA / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH - / 1 - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0217S / 1 RA / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 275925 / 1 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Asthenia, Guillain-Barre syndrome
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)

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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: had EMG consistant /w Guillain Barre, Had negative spinal tap , CAT scan
CDC Split Type:

Write-up: Guillian Barre Syndrome requiring intubation. Pt is still in hosp as of 10Dec90, Developed weakness on 28Nov90


VAERS ID: 27126 (history)  
Form: Version 1.0  
Age: 0.1  
Sex: Female  
Location: Maryland  
Vaccinated:1990-11-05
Onset:1990-11-05
   Days after vaccination:0
Submitted: 1990-11-06
   Days after onset:1
Entered: 1990-12-19
   Days after submission:43
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0G11097 / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0620H / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Cardiovascular disorder, Coma, Cyanosis, Hyperhidrosis, Hypotonia, Pallor
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Acute central respiratory depression (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: Tempra
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EKG, ECHO
CDC Split Type: MD90106

Write-up: Pt vaccinated with DTP/OPV developed limp, unconscious, pale, clammy, blue around mouth & eyes, heart murmur found on exam.


VAERS ID: 27142 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Washington  
Vaccinated:1990-03-12
Onset:1990-12-04
   Days after vaccination:267
Submitted: 0000-00-00
Entered: 1990-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 289901 / UNK - / IM L
HIBV: HIB (HIBTITER) / PFIZER/WYETH M190FD / UNK - / IM L
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 291966 / UNK MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Coagulopathy, Shock
SMQs:, Anaphylactic reaction (narrow), Haemorrhage laboratory terms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Hypovolaemic shock conditions (narrow), Toxic-septic shock conditions (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypoglycaemic and neurogenic shock conditions (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: USD, Hernia repair
Allergies:
Diagnostic Lab Data: intensive care
CDC Split Type:

Write-up: Cardo vascular collapse, DIC


VAERS ID: 27148 (history)  
Form: Version 1.0  
Age: 1.9  
Sex: Female  
Location: New York  
Vaccinated:1990-11-27
Onset:1990-11-27
   Days after vaccination:0
Submitted: 1990-11-30
   Days after onset:3
Entered: 1990-12-21
   Days after submission:21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 287965 / 4 LL / IM

Administered by: Public       Purchased by: Public
Symptoms: Febrile convulsion, Otitis media, Pyrexia, Somnolence
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (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? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Tylenol prior to vax, Polycillin for ear
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: NY90068

Write-up: Pt slept all day /p vax /w DTP, when pt woke up had seizure @ 7pm. Pt taken to ER, T104+ (R), bilateral otitis media, pt admit to hospital. DX: convulsion due to high temp.


VAERS ID: 27153 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Unknown  
Location: Ohio  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 1990-12-05
Entered: 1990-12-21
   Days after submission:16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0B21173 / UNK - / -
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / UNK MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Sudden infant death syndrome
SMQs:, Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
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: CO3729

Write-up: Pt vaccinated with DTP/OPV/HIB; SIDS death 1 day post injection.


VAERS ID: 27156 (history)  
Form: Version 1.0  
Age: 1.5  
Sex: Male  
Location: North Carolina  
Vaccinated:1989-09-07
Onset:1990-11-22
   Days after vaccination:441
Submitted: 1990-12-08
   Days after onset:16
Entered: 1990-12-21
   Days after submission:13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 250914 / 4 - / IM
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 8L01022 / 1 - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 241940 / 3 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Drug ineffective, Pharyngitis, Sepsis
SMQs:, Agranulocytosis (broad), Lack of efficacy/effect (narrow), Oropharyngeal infections (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Sepsis (narrow), Opportunistic infections (broad)

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? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Blood test - Postive - H. influenza type B
CDC Split Type: CO3732

Write-up: Pt vaccinated with PROHIBIT developed Epiglotittis. Blood Culture positive for H Influenza type B.


VAERS ID: 27160 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: California  
Vaccinated:1990-12-18
Onset:1990-12-18
   Days after vaccination:0
Submitted: 1990-12-19
   Days after onset:1
Entered: 1990-12-26
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0B21173 / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M730FE / 2 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0615A / 2 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Sudden infant death syndrome
SMQs:, Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1990-12-18
   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: Caldesene cream
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt vaccinated with DTP/OPV/HIB expired 7 hrs later. Dx SIDS.


VAERS ID: 27161 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Massachusetts  
Vaccinated:1990-12-11
Onset:1990-12-12
   Days after vaccination:1
Submitted: 1990-12-17
   Days after onset:5
Entered: 1990-12-26
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB DTP272 / UNK LL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M190FD / UNK RL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 287952 / UNK MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Sudden infant death syndrome
SMQs:, Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1990-12-12
   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:

Write-up: Pt vaccinated with DTP/OPV/HIB died approx 24 hrs later. preliminary dx SIDS.


VAERS ID: 27163 (history)  
Form: Version 1.0  
Age: 1.5  
Sex: Male  
Location: Maine  
Vaccinated:1988-03-08
Onset:1989-03-09
   Days after vaccination:366
Submitted: 1990-11-28
   Days after onset:629
Entered: 1990-12-26
   Days after submission:28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 7K81009 / 3 - / IM L
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 178607 / UNK - / -

Administered by: Private       Purchased by: Public
Symptoms: Febrile convulsion, Pyrexia
SMQs:, Neuroleptic malignant syndrome (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)

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EEG - nl Lp-nl
CDC Split Type:

Write-up: Pt vaccinated with DTP/OPV developed high fever in 5 hrs; Febrile seizure within 14 hrs.


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