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From the 4/23/2021 release of VAERS data:

Found 20,989 cases where Vaccine targets Tetanus (6VAX-F or DT or DTAP or DTAPH or DTAPHEPBIP or DTAPIPV or DTAPIPVHIB or DTIPV or DTP or DTPHEP or DTPHIB or DTPIHI or DTPIPV or DTPPHIB or TD or TDAP or TDAPIPV or TTOX) and Serious and Vaccination Date on/after '2000-01-01'



Case Details

This is page 3 out of 2,099

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VAERS ID: 134356 (history)  
Form: Version 1.0  
Age: 1.5  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2000-02-15
Onset:2000-02-17
   Days after vaccination:2
Submitted: 2000-02-18
   Days after onset:1
Entered: 2000-02-29
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U00390A / 4 LL / IM
HIBV: HIB (ACTHIB) / CONNAUGHT LABORATORIES VA485A / 4 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. P1232 / 3 RL / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1275J / 1 RL / SC

Administered by: Private       Purchased by: Private
Symptoms: Convulsion, Diarrhoea, Hemiplegia, Paralysis
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Pseudomembranous colitis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), 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 (narrow), Generalised convulsive seizures following immunisation (narrow), Noninfectious diarrhoea (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, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CBC, Lytes, Bun, Cr, Ce, MS-ou, CT Scan Head-Nml, EEG-Nml
CDC Split Type:

Write-up: At 5:30am on 2/17/00, pt had seizure, for 20 sec. Had 3 more, but not serious. Treated with Phenobarbitol & no further seizures. Developed diarrhea on 2/17/00. Follow-up information received indicating mild flattening of nasolabial fold on left - Todd''s paralysis. No further seizures also noted.


VAERS ID: 134358 (history)  
Form: Version 1.0  
Age: 51.0  
Sex: Female  
Location: Vermont  
Vaccinated:2000-01-20
Onset:2000-01-26
   Days after vaccination:6
Submitted: 2000-02-18
   Days after onset:23
Entered: 2000-02-29
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 4998301 / UNK RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)

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:
Other Medications: Prozac, multiple vitamins
Current Illness: NONE
Preexisting Conditions: Congenital birth defect/Cerebral Palsy
Allergies:
Diagnostic Lab Data: Blood tests for eye surgery 2 days prior to vax - wnl
CDC Split Type:

Write-up: Swelling, redness, tenderness locally arm. Treated with unk antibiotic. Resolved in 24 hrs.


VAERS ID: 134403 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Georgia  
Vaccinated:2000-02-11
Onset:2000-02-12
   Days after vaccination:1
Submitted: 2000-02-16
   Days after onset:4
Entered: 2000-02-29
   Days after submission:13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 913A2 / 1 LL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 1091J / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P0474 / 1 LL / -

Administered by: Private       Purchased by: Public
Symptoms: Apnoea
SMQs:, Acute central respiratory depression (narrow), Respiratory failure (narrow)

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:
Other Medications:
Current Illness: Bronchitis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CSF and blood cultures showed no growth.
CDC Split Type:

Write-up: 1 day post vaccine, pt appeared to stop breathing 3 x. Seen in ER and admitted. Came home on monitor.


VAERS ID: 134488 (history)  
Form: Version 1.0  
Age: 1.9  
Sex: Male  
Location: Texas  
Vaccinated:2000-02-01
Onset:2000-02-03
   Days after vaccination:2
Submitted: 2000-03-01
   Days after onset:27
Entered: 2000-03-02
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 462354 / 4 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: 1048414FEB

Write-up: Following vaccination, pt developed severe swelling of his entire thigh and was hospitalized for 1 to 2 days. The patient recovered. This is 1 of 2 pts from this facility who experienced an injection site reaction following vaccination.


VAERS ID: 134503 (history)  
Form: Version 1.0  
Age: 0.16  
Sex: Male  
Location: California  
Vaccinated:2000-02-03
Onset:2000-02-03
   Days after vaccination:0
Submitted: 2000-02-21
   Days after onset:18
Entered: 2000-03-03
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 462356 / 1 RL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1614H / 1 LL / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Agitation, Apnoea
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Respiratory failure (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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EKG, CBC, Blood Culture, Chem 20, UA - all WNL EEG - pending
CDC Split Type:

Write-up: Pt became irritable, starting 1 1/2 hours post immunizations. Pt had apneic episode, was hospitalized for 3 days.


VAERS ID: 134551 (history)  
Form: Version 1.0  
Age: 1.8  
Sex: Female  
Location: Delaware  
Vaccinated:2000-02-22
Onset:2000-02-22
   Days after vaccination:0
Submitted: 2000-02-23
   Days after onset:1
Entered: 2000-03-06
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES PO7392 / 3 LL / IM
HIBV: HIB (ACTHIB) / CONNAUGHT LABORATORIES UA473A3 / 5 RL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1086J / 1 RL / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1362J / 1 LL / IM

Administered by: Private       Purchased by: Public
Symptoms: Convulsion, Stupor, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EEG Pending
CDC Split Type: DE0002

Write-up: Pt developed vomiting, followed by 2 episodes of hyporesponsiveness in addition to possible seizures without fever.


VAERS ID: 134552 (history)  
Form: Version 1.0  
Age: 1.6  
Sex: Female  
Location: Georgia  
Vaccinated:2000-02-04
Onset:2000-02-09
   Days after vaccination:5
Submitted: 2000-03-01
   Days after onset:21
Entered: 2000-03-06
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0501AA / 1 LL / IM
HIBV: HIB (ACTHIB) / CONNAUGHT LABORATORIES U0161AA / 1 LL / IM

Administered by: Private       Purchased by: Private
Symptoms: Gait disturbance, Infection, Injection site hypersensitivity, Pyrexia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (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? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: Several month history of recurrent infections, to include hx of pneumonia as well as chronic otitis media.
Allergies:
Diagnostic Lab Data: Lab values show a white count of 11.2 with left shift, sed rate of 78, RP 1.06, hematocrit value of 29. Xrays showed soft tissue swelling w/o bone change.
CDC Split Type:

Write-up: Evening of immunization, pt had a fever and was limping. 5 days later, developed red spot on thigh at injection site. Seen here and at hospital ER over weekend. Had surgery on ankle for infection. No culture available. Final dx from discharge summary: septic ankle, left. Tx was arthrotomy with irrigation and debridement 2/13/00.


VAERS ID: 134577 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Male  
Location: Texas  
Vaccinated:2000-03-02
Onset:2000-03-03
   Days after vaccination:1
Submitted: 2000-03-04
   Days after onset:1
Entered: 2000-03-07
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 467012 / 2 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0051K / 2 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P12323 / 2 LL / SC

Administered by: Private       Purchased by: Private
Symptoms: Brain oedema, Pulmonary oedema, Sudden infant death syndrome, Unevaluable event
SMQs:, Cardiac failure (narrow), Hyponatraemia/SIADH (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-03-03
   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: amoxcillin, Pediacare
Current Illness: otitis media/URI
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy revealed pulmonary and cerebral edema. Cause of death determined to be SIDS.
CDC Split Type:

Write-up: Pt found dead in sleep.


VAERS ID: 134583 (history)  
Form: Version 1.0  
Age: 0.1  
Sex: Female  
Location: Florida  
Vaccinated:2000-02-29
Onset:2000-03-01
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2000-03-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 911A2 / 1 RL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 3205A2 / 1 - / IM
HIBV: HIB (ACTHIB) / CONNAUGHT LABORATORIES 3205A2 / 1 - / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. P1232 / 1 RL / SC

Administered by: Public       Purchased by: Public
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-03-01
   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:
CDC Split Type:

Write-up: Child received multiple injections 2/29/00. Mom put child to bed around 11:15 PM on 2/29/00 on the floor on 2 soft pillows. Did not check on the infant until around 9:00 AM on 3/1/00. Found child deceased.


VAERS ID: 134672 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Male  
Location: Texas  
Vaccinated:2000-01-12
Onset:2000-01-17
   Days after vaccination:5
Submitted: 2000-01-19
   Days after onset:2
Entered: 2000-03-09
   Days after submission:50
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (CERTIVA) / NORTH AMERICAN VACCINES D006R / 1 LL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 3201A2 / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 520453 / 1 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. PO168 / 1 RL / SC

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: 2000-01-17
   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: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: 00TX009

Write-up: No signs, no symptoms, found dead at 3 AM 1/17/00. Autopsy findings (per grandmother) stated that infant died of SIDS. Grandmother interviewed by phone.


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