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From the 4/23/2021 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 21 out of 2,248

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VAERS ID: 27516 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Male  
Location: Utah  
Vaccinated:1990-01-08
Onset:1990-01-09
   Days after vaccination:1
Submitted: 1991-01-11
   Days after onset:367
Entered: 1991-01-22
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 250978 / 3 LL / IM

Administered by: Public       Purchased by: Public
Symptoms: Convulsion, Hypertonia, Somnolence
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Convulsions (narrow), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad), Hypokalaemia (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, 4 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CT 14JAN91; MRI16JAN91; EEG 15JAN91; Blood work 15JAN91 - all normal.
CDC Split Type:

Write-up: sudden jerk to one side of body, head pulled towards shoulder -shoulder towards ear w/a stiffening of entire body - & sometimes arm extends to a stiff up above head position usually occurs in 3''s then exhausted & sleeps. Still occurring.


VAERS ID: 27534 (history)  
Form: Version 1.0  
Age: 0.6  
Sex: Female  
Location: Connecticut  
Vaccinated:1991-01-10
Onset:1991-01-13
   Days after vaccination:3
Submitted: 1991-01-21
   Days after onset:8
Entered: 1991-01-24
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0C21000 / 4 GM / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 291940 / 3 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (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 pt; Irritability~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: cleft lip & cleft palate
Allergies:
Diagnostic Lab Data: Head CT Scan -; EEG -
CDC Split Type:

Write-up: Rec''d 1/2 dose DPT & 24 hrs later "shuddering movements", lasted a few seconds. Happened again the next day - only a few seconds. -fever. Otherwise child was fine.


VAERS ID: 27548 (history)  
Form: Version 1.0  
Age: 1.4  
Sex: Male  
Location: Virginia  
Vaccinated:1990-11-15
Onset:1990-11-25
   Days after vaccination:10
Submitted: 1991-01-08
   Days after onset:44
Entered: 1991-01-25
   Days after submission:17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 285965 / 4 LL / IM
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0A21133 / 1 RL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1487S / 1 LA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 287939 / 3 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Hypotonia, Pyrexia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (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, 3 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: VA91004

Write-up: Pt vaccinated w/DTP/OPV/MMR/HIB 10 days /p developed rash, fever 106.3, limp taken to ER hospitalized 3 days.


VAERS ID: 27571 (history)  
Form: Version 1.0  
Age: 2.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:1990-01-19
Onset:1990-01-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1991-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB DTP266 / UNK - / IM
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Cellulitis, Febrile convulsion
SMQs:, Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: BC - negative
CDC Split Type: 9012

Write-up: febrile seizure & cellulitis.


VAERS ID: 27574 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Male  
Location: Massachusetts  
Vaccinated:1990-01-17
Onset:1990-01-19
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 1991-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB DTP269 / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
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? 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: 9015

Write-up: febrile seizure & temp of 104.


VAERS ID: 27587 (history)  
Form: Version 1.0  
Age: 0.1  
Sex: Female  
Location: Massachusetts  
Vaccinated:1990-04-19
Onset:1990-04-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1991-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB DTP270 / UNK - / IM
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Hyperhidrosis, Stupor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: 9029

Write-up: unresponsive & clammy.


VAERS ID: 27627 (history)  
Form: Version 1.0  
Age: 2.0  
Sex: Female  
Location: Michigan  
Vaccinated:1990-12-28
Onset:1990-12-28
   Days after vaccination:0
Submitted: 1991-01-22
   Days after onset:25
Entered: 1991-01-28
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 285916 / 4 RL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 289950 / 3 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Convulsion, Hypotonia, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (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? No
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:

Write-up: Pt had T p/reaching home in 1/2 hr. Sz /p receiving DTP & was taken to ER. Emesis x 1. Seizure by mothers description as shaking all over the body for a few min then she became limp. D/C from hosp after two days.


VAERS ID: 27628 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Female  
Location: Pennsylvania  
Vaccinated:1990-12-19
Onset:1990-12-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1991-01-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 285915 / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M205ED / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 291978 / 1 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Agitation, Bronchiolitis, Infection, Pyrexia, Rash, Rhinitis, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (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 (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? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CF test - neg.; CXR-neg.
CDC Split Type: PA9114

Write-up: Became fussy & had runny nose 20DEC. T @ MD office 100-101(R). On Fri night 21DEC developed a rash w/hives. 22Dec adm to hosp. Rx''d for Bronchilitis & an infection in bowel caused by Branhamella Catarrhalis generalized bacterial infect.


VAERS ID: 27636 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: New York  
Vaccinated:1991-01-03
Onset:1991-01-06
   Days after vaccination:3
Submitted: 1991-01-09
   Days after onset:3
Entered: 1991-01-29
   Days after submission:20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M200FD / 1 - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 1 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: CSF test abnormal, Infection, Pyrexia, Sepsis
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Sepsis (narrow), 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: blood & spinal fluid culture: positive for H. influenza.
CDC Split Type: 910005801

Write-up: 2 mo infant received HIBtiter/DTP/OPV on 3JAN91 on 6JAN91 had temp to 105; hospitalized - positive blood & spinal fluid cultures for H. Influenzae. Child doing well.


VAERS ID: 27642 (history)  
Form: Version 1.0  
Age: 2.0  
Sex: Male  
Location: Iowa  
Vaccinated:1967-12-19
Onset:1967-12-21
   Days after vaccination:2
Submitted: 1991-01-25
   Days after onset:8436
Entered: 1991-01-29
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 4 - / -

Administered by: Private       Purchased by: Private
Symptoms: Arrhythmia, Convulsion, Hyporeflexia, Hypotonia, Mental retardation severity unspecified, Pyrexia, Somnolence
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Convulsions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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, 4 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EEG 22DEC67 disclosed dysrhythmia, grade 2 generalized, non-specific in posterior head regions. Screening tests for inborn errors of metabolism were neg. CSF neg.
CDC Split Type:

Write-up: Pt admitted to hosp 22DEC67 w/convuls of 6 hrs duration, one day after vac. Reporter told child should not receive more "P". Child has some degree of retardation. Mom wonders of d/t DTP. See WORM for more info.


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