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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 19 out of 2,248

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VAERS ID: 27308 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Female  
Location: Connecticut  
Vaccinated:1990-12-12
Onset:1990-12-17
   Days after vaccination:5
Submitted: 1990-12-31
   Days after onset:14
Entered: 1991-01-04
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 289968 / 2 RL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M190FD / 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 2879420619M / 2 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Convulsion, Electroencephalogram abnormal, Gaze palsy, Urine analysis abnormal
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Ocular motility disorders (narrow), Generalised convulsive seizures following immunisation (narrow), 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, 4 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: on phenobarb therapy
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EEG +; MRI -; CT -; Urine-Organic acid = hyperaminoaciduria w/ elev valine & leucine; elev 3-aminoisobutyric acid.
CDC Split Type:

Write-up: Pt vaccinated with DTP/OPV/HIB Titer experienced eyes deviated to rt, generalized tonic clonic movement for 30-45 seconds CT scan -; MRI -; EEG localized sporadic spike in rt temp post region & to lesser degree rt inferior temp region. .


VAERS ID: 27309 (history)  
Form: Version 1.0  
Age: 0.18  
Sex: Female  
Location: California  
Vaccinated:1990-12-06
Onset:1990-12-12
   Days after vaccination:6
Submitted: 1990-12-21
   Days after onset:9
Entered: 1991-01-04
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 291930 / 1 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 285951 / 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: 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:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Pathology report by Hosp.
CDC Split Type:

Write-up: Pt vaccinated with DTP/OPV sudden infant death.


VAERS ID: 27311 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Female  
Location: Alabama  
Vaccinated:1990-11-13
Onset:1990-11-15
   Days after vaccination:2
Submitted: 1990-12-28
   Days after onset:43
Entered: 1991-01-04
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0A21149 / 2 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M745FB / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0615L / 2 MO / PO

Administered by: Private       Purchased by: Unknown
Symptoms: Leukocytosis, 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Negative bld cultures & CSF culture
CDC Split Type:

Write-up: Pt vaccinated with HIB Titer/DTP/OPV developed fever to 102 x 4 days, Leukocytosis 63,000/mm3; 68 polys, 25 lymphs, 6 mono, 1 band.


VAERS ID: 27313 (history)  
Form: Version 1.0  
Age: 1.6  
Sex: Male  
Location: West Virginia  
Vaccinated:1989-07-17
Onset:1990-12-03
   Days after vaccination:504
Submitted: 1990-12-27
   Days after onset:24
Entered: 1991-01-07
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES - / UNK - / -
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 8J01171 / 1 - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / UNK - / -

Administered by: Private       Purchased by: Private
Symptoms: Drug ineffective, Immune system disorder, Meningitis, Sepsis
SMQs:, Lack of efficacy/effect (narrow), Noninfectious meningitis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Sepsis (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1990-12-05
   Days after onset: 2
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: Blood Culture positive for H. Influenza type B
CDC Split Type: CO3731

Write-up: Died after developing Hib meningitis. MD sending samples to CDC for analysis. Reported that the child had some form of immune deficiency. Father told MD he also had a form of immune deficiency.


VAERS ID: 27324 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Female  
Location: New York  
Vaccinated:1990-04-09
Onset:1990-04-10
   Days after vaccination:1
Submitted: 1990-12-11
   Days after onset:245
Entered: 1991-01-07
   Days after submission:27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 3 - / L

Administered by: Public       Purchased by: Other
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? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EEG - Abnormal. ACTH, CAT SCAN/Normal, MRI - normal, genetic testing - Normal, 2nd EEG - improved
CDC Split Type:

Write-up: Pt vaccinated with DTP developed seizures. Had EEG diag infantile seizures. 8 days in hosp on ACTH. seizures stopped after 4 days. Grunted & jerked arms & legs & head. Another EEG 2 wks later was improved. Has not had any seizures in 6 mo.


VAERS ID: 27325 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Wisconsin  
Vaccinated:1989-11-16
Onset:1989-11-20
   Days after vaccination:4
Submitted: 1990-12-01
   Days after onset:376
Entered: 1991-01-07
   Days after submission:37
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES - / 2 - / IM L
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / UNK MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Coma, Cyanosis, Leukocytosis
SMQs:, Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (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, 2 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC, Lumbar punct, EEG, Pertussis Culture, WBC elevated all others WNLs
CDC Split Type:

Write-up: Pt vaccinated with DTP/OPV developed flail, blue pallor, did not respond - at end of nap, failed to respond to stimulus, rushed to ER. See WORM for more details.


VAERS ID: 27328 (history)  
Form: Version 1.0  
Age: 1.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 1991-01-03
Entered: 1991-01-07
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Agitation, Amnesia, Screaming, Stupor, Urinary incontinence
SMQs:, Neuroleptic malignant syndrome (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? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Dilantin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EEG - neg; Was to have 24hrs EEG - couldn''t afford it. CBC, Chest normal
CDC Split Type:

Write-up: Pt vaccinated with DTP developed uncontrollable screaming, whimpering, facial grimmace, stare into space, loose bladder control when scream, not remember - then all of a sudden OK - last for hrs all sx gone. Dilantin begun 11DEC90.


VAERS ID: 27341 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: California  
Vaccinated:1990-12-27
Onset:1990-12-29
   Days after vaccination:2
Submitted: 1991-01-03
   Days after onset:5
Entered: 1991-01-08
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 283910 / UNK - / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M6507B / UNK - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 06137 / UNK MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Cyanosis
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Hypotonic-hyporesponsive episode (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1990-12-29
   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 Titer found blue in crib.


VAERS ID: 27342 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Texas  
Vaccinated:1990-12-19
Onset:1990-12-19
   Days after vaccination:0
Submitted: 1990-12-19
   Days after onset:0
Entered: 1991-01-08
   Days after submission:20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0B21173 / 1 LL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH MO25FC / 1 RL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0612E / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Oedema, Screaming
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Hostility/aggression (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? 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:
CDC Split Type:

Write-up: Pt vaccinated with DTP/OPV/HIB developed inconsolable crying 3 hrs after shot, lt leg swollen.


VAERS ID: 27441 (history)  
Form: Version 1.0  
Age: 1.9  
Sex: Female  
Location: Kentucky  
Vaccinated:1990-11-02
Onset:1990-11-03
   Days after vaccination:1
Submitted: 1990-11-27
   Days after onset:24
Entered: 1991-01-16
   Days after submission:50
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 285919 / 4 RL / IM

Administered by: Public       Purchased by: Public
Symptoms: Asthenia, Cough, Gait disturbance, Leukocytosis, Meningitis, Oedema, Otitis media, Petechiae, Pyrexia, Rash, Sepsis, Urticaria, Vomiting
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (broad), Sepsis (narrow), Opportunistic infections (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, 10 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Spinal fluid had 82 cells & but culture was negative. Meningococcus was grown from blood culture. CBC: 12,800 WBC w/ 12 stabs, 61 polyp, 21 lymphs. UA negative. Chem-6 normal.
CDC Split Type: KY916

Write-up: Pt fine until day /p vax, legs were red, swollen & wheals, unable to walk. Pt taken to hosp. per Dr instruction, T 105, vomiting, Dx spinal meningitis & sepsis. Admit to hosp 4Nov90 to 14Nov90.


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