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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 20 out of 2,248

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VAERS ID: 27442 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Unknown  
Location: Mississippi  
Vaccinated:1990-09-01
Onset:1990-09-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Anorexia, Otitis media, 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? 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: WBC 19.2
CDC Split Type:

Write-up: High fever and not eating, otitis media


VAERS ID: 27451 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Oregon  
Vaccinated:1990-11-20
Onset:1990-11-29
   Days after vaccination:9
Submitted: 1991-01-08
   Days after onset:40
Entered: 1991-01-17
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0L11101 / 2 LL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M030FC / 1 RL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0619L / 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: 1990-11-29
   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: None
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: SIDS investigation & autopsy done
CDC Split Type:

Write-up: Dx sudden infant death syndrome died 29Nov90


VAERS ID: 27452 (history)  
Form: Version 1.0  
Age: 1.5  
Sex: Female  
Location: North Carolina  
Vaccinated:1990-09-11
Onset:1990-09-11
   Days after vaccination:0
Submitted: 1991-01-10
   Days after onset:121
Entered: 1991-01-17
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 283971 / 4 - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0610B / 4 MO / PO

Administered by: Public       Purchased by: Other
Symptoms: Apnoea, Coma, Convulsion, Cyanosis, Dysphagia, Gaze palsy, Insomnia, Pyrexia, Tremor
SMQs:, Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
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 abnormal (postictal)init., repeated 28Nov90, WNL; Hematology, Cultures for blood & urine no growth, resp blood gases, CT scan-normal, Xray chest-normal, Spinal fluid testing, Neurology Consult.CSF WNL
CDC Split Type:

Write-up: While bathing pt went into seizures, eyes rolled back & turned purple. Taken to ER, unconscious, was told in ER had quit breathing, put on respirator. In the hosp for 3 days. Shakes sometimes & px. Seemed warm when put in bath.


VAERS ID: 27532 (history)  
Form: Version 1.0  
Age: 1.6  
Sex: Female  
Location: Unknown  
Vaccinated:1990-12-20
Onset:1990-12-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-01-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Agitation, Oedema peripheral, Supraventricular tachycardia
SMQs:, Cardiac failure (broad), Angioedema (broad), Anticholinergic syndrome (broad), Supraventricular tachyarrhythmias (narrow), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Haemodynamic oedema, effusions and fluid overload (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? Yes, ? days
   Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Tylenol
Current Illness: well child
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: SVT-converted w/Adenosine placed on Lanoxin.
CDC Split Type:

Write-up: arm swelling, fussy continuous thru next day. Reseen, found to be in SVT.


VAERS ID: 27453 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Male  
Location: Arizona  
Vaccinated:1990-08-14
Onset:1990-08-22
   Days after vaccination:8
Submitted: 1991-01-08
   Days after onset:139
Entered: 1991-01-18
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 256957 / 2 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 253948 / 2 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Coma, Dehydration, Diarrhoea, Hypotonia, Muscle atrophy, Pallor, Paralysis, Pyrexia, Renal failure, Sepsis
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Chronic kidney disease (narrow), Noninfectious diarrhoea (narrow), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (narrow), Sepsis (narrow), Opportunistic infections (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 1990-08-22
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 21 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Surgery Jul90 for incarcarated hernia.
Allergies:
Diagnostic Lab Data:
CDC Split Type: AZ9101

Write-up: 1 wk following DTP/OPV #2 developed explosive diarrhea & temp 106.1, pale, unresponsive, kidney failure. Dx severe blood infection/diarrhea & dehydration was on peritoneal dialysis. Also dx w/ Wernig Hoffman Disease.


VAERS ID: 27495 (history)  
Form: Version 1.0  
Age: 0.6  
Sex: Female  
Location: Florida  
Vaccinated:1990-10-10
Onset:1990-10-10
   Days after vaccination:0
Submitted: 1991-01-08
   Days after onset:90
Entered: 1991-01-22
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 279945 / 3 RL / -

Administered by: Public       Purchased by: Public
Symptoms: Agitation, Convulsion, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Convulsions (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, 3 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: FL9010

Write-up: Pt vaccinated w/DTP became cranky w/increased fever & a seizure. Taken to ER treated & released-returned the next day admitted x 3 days. Poor communication w/this family.


VAERS ID: 27506 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Virginia  
Vaccinated:1991-01-08
Onset:1991-01-09
   Days after vaccination:1
Submitted: 1991-01-10
   Days after onset:1
Entered: 1991-01-22
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 293947 / 2 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M705FE / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 291964 / 2 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1991-01-09
   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: Tylenol drops PRN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: other pending autopsy at hospital. No lab work done 8JAN91
CDC Split Type: VA91001

Write-up: Pt vaccinated with DTP/OPV/HIB phone call from ER 9JAN91 at 1210PM requesting info re: child''s status on visit 8JAN91. Informed ER child well-given 2nd DTP, OPV & 1st HBCV - ER stated child "SIDS" found by mother - brought to ER via rescue.


VAERS ID: 27507 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Female  
Location: Virginia  
Vaccinated:1991-01-05
Onset:1991-01-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 293947 / 3 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1492S / 1 RL / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 287949 / 3 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Pyrexia, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic 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? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood Cultures; CBC WBC 20,000 Spinal tap - negative
CDC Split Type: VA91002

Write-up: Day of vac developed fever 103-104(F) lt leg at inj site red w/rash. Admitted to hosp. Tx w/IV & IM antibiotics. D/c''d on oral antibiotics 6JAN91. Rash fine red (like a hive) at inj site spread to lt buttock. 8Jan91, temp to 106.5


VAERS ID: 27514 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Female  
Location: Georgia  
Vaccinated:1990-12-07
Onset:1990-12-07
   Days after vaccination:0
Submitted: 1991-01-15
   Days after onset:39
Entered: 1991-01-22
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0B21173 / 2 - / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M025FC / 1 - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0618H / 2 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Convulsion, Leukocytosis, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (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), 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: Gantrosin
Current Illness:
Preexisting Conditions: Hydrocephalus-meningomyelocele-VP shunt
Allergies:
Diagnostic Lab Data: SMA-7; NA 131; Glucose of 91 -normal; White blood cell count was 17,700 w/53 Polys, 40 lmphs, 1 atypical lymph, 4 monos, 2 EOS; Hematocrit 37.1; Platelet 421,000. CT Scan revealed interval decompression.
CDC Split Type:

Write-up: Pt vaccinated with DTP/OPV/HIB developed fever & lt focal motor seizure activity lasting 30 to 40 minutes. Underwent extensive eval in ER looking for etiologies of status epilepticus. Pt has hx of myelomeningocele & hydrocephalus


VAERS ID: 27515 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Female  
Location: Alaska  
Vaccinated:1990-11-26
Onset:1990-12-01
   Days after vaccination:5
Submitted: 1991-01-14
   Days after onset:44
Entered: 1991-01-22
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 283912 / 3 RL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M740EN / 1 LL / -

Administered by: Private       Purchased by: Public
Symptoms: Apnoea, Cyanosis, Hypotonia, Shock
SMQs:, Anaphylactic reaction (narrow), Peripheral neuropathy (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), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (narrow), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow), Respiratory failure (narrow)

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, 1 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LP, CBC, GLU, CA, Cultures
CDC Split Type:

Write-up: witnessed resp arrest w/cyanosis/flaccidity. Full recovery after 10 sec CPR. Shock/Collapse


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