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From the 5/7/2021 release of VAERS data:

Found 20,999 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 5 out of 2,100

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VAERS ID: 150243 (history)  
Form: Version 1.0  
Age: 1.0  
Sex: Male  
Location: Mississippi  
Vaccinated:2000-03-07
Onset:2000-03-11
   Days after vaccination:4
Submitted: 2000-03-13
   Days after onset:2
Entered: 2000-03-21
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 7388BA / 4 - / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM ENG314009 / 4 - / IM
HIBV: HIB (ACTHIB) / CONNAUGHT LABORATORIES N0548AA / 3 - / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P0473 / 3 - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0928J / 1 - / SC

Administered by: Private       Purchased by: Other
Symptoms: Apnoea, Atelectasis, Brain oedema, Convulsion, Foetal disorder, Hyperplasia, Liver disorder, Petechiae, Pulmonary congestion, Pulmonary oedema, Renal disorder, Spleen disorder, Tremor
SMQs:, Cardiac failure (narrow), Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Parkinson-like events (broad), Acute central respiratory depression (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hyponatraemia/SIADH (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Foetal disorders (narrow), Generalised convulsive seizures following immunisation (narrow), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-03-11
   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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Autopsy to be performed
CDC Split Type: MS00007

Write-up: No reaction or illness was noted after vaccine until the morning of 3/11/00. The child was playing and then laid down on couch and started shaking and stopped breathing. Autopsy showed cause of death to be consistent with seizure. Other findings of pulmonary vascular congestion and edema, atelectasis of the lungs, hepatic congestion, petechiae of the thymus, splenic congestion, reactive lymphoid hyperplasia of the mesenteric lymph nodes, renal congestion, fetal lobulation of the kidneys, cerebal edema.


VAERS ID: 150271 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Nevada  
Vaccinated:2000-01-21
Onset:2000-01-27
   Days after vaccination:6
Submitted: 2000-03-06
   Days after onset:39
Entered: 2000-03-22
   Days after submission:16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 464306 / 1 LL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM ENG3201A2 / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 560903A / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. 09561 / 1 LL / -

Administered by: Public       Purchased by: Public
Symptoms: Insomnia, Meningitis, Musculoskeletal stiffness, Pneumonia, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 14 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Bacterial Meningitis, beginning signs pneumonia.
CDC Split Type:

Write-up: Stiff neck, fever 104, sleeplessness, 14 days antibiotic (Claforan) in hospital say, ICU 2 days.


VAERS ID: 150294 (history)  
Form: Version 1.0  
Age: 1.0  
Sex: Male  
Location: Colorado  
Vaccinated:2000-02-25
Onset:2000-02-25
   Days after vaccination:0
Submitted: 2000-02-29
   Days after onset:4
Entered: 2000-03-23
   Days after submission:23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0008AA / 3 RL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1192J / 3 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N0956 / 3 LL / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0865 / 1 GM / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0706J / 1 GM / SC

Administered by: Public       Purchased by: Public
Symptoms: Meningitis, Nausea, Pain, Pyrexia, Rash, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Blood culture-positive for neissena meningitis
CDC Split Type: CO00005

Write-up: Pt developed rash on left arm (the same day of vaccine). Pt had the rash the following day with a fever of 103, nausea, vomiting, body aches. Tx with Rocephin. Suspect meningococcal disease.


VAERS ID: 150295 (history)  
Form: Version 1.0  
Age: 69.0  
Sex: Male  
Location: Michigan  
Vaccinated:2000-02-24
Onset:2000-02-24
   Days after vaccination:0
Submitted: 2000-02-28
   Days after onset:4
Entered: 2000-03-23
   Days after submission:24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 461154 / 3 LA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 7358AB / UNK RA / IM

Administered by: Public       Purchased by: Public
Symptoms: Cellulitis, Skin discolouration, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (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: Lung infection
Preexisting Conditions: COPD, history of angioplasty, 1 year ago.
Allergies:
Diagnostic Lab Data: Blood cultures-results unknown
CDC Split Type: MI2000013

Write-up: 5 hours post vax, pt''s arm swelled to below elbow, turning


VAERS ID: 150364 (history)  
Form: Version 1.0  
Age: 4.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2000-03-16
Onset:2000-03-16
   Days after vaccination:0
Submitted: 2000-03-20
   Days after onset:4
Entered: 2000-03-24
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0039CA / 5 RA / IM
HIBV: HIB (ACTHIB) / CONNAUGHT LABORATORIES UA156AA / 4 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1077J / 2 RA / SC

Administered by: Private       Purchased by: Private
Symptoms: Dehydration, Gastroenteritis, Pharyngitis, Vomiting
SMQs:, Acute pancreatitis (broad), Agranulocytosis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Oropharyngeal infections (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Vomiting and dehydration started within 2 to 4 hours post vax, later admitted for IV fluids for 2 to 3 days. (3/17/00 to 3/19/00). 60 day follow-up dated 7/10/00 provided no additional data. Discharge summary states final dx as acute viral gastroenteritis w/dehydration and strep pharyngitis, new. Started on amoxicillin 250 mg t.i.d. in ER and continued for 10 days.


VAERS ID: 150467 (history)  
Form: Version 1.0  
Age: 1.0  
Sex: Male  
Location: Texas  
Vaccinated:2000-03-09
Onset:2000-03-10
   Days after vaccination:1
Submitted: 2000-03-17
   Days after onset:7
Entered: 2000-03-27
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (CERTIVA) / NORTH AMERICAN VACCINES D004R / 4 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 530453A / 4 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. PO4742 / 3 RL / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0915J / 1 RA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1456J / 1 LL / SC

Administered by: Public       Purchased by: Public
Symptoms: Convulsion, 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? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: PPD, Lot 251411, ID in forearm, 1st test.
Current Illness: NONE
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 3/10 One day post vax, patient experienced fever and convulsion. Was admitted to hospital and released 3/11. Child remained well until 3/14 when he experienced fever and convulsion. Was hospitalized again. Evening of 3/14, he experienced convulsion in hospital and remains hospitalized to date. Mother states that child had diarrhea and illness for about one month when her physician stated on 3/8 that he was well and could receive vax. Follow up information received 7/18/00 stating that during childs hospitalization, he was given generic Valium PRN for fever to prevent seizures. He also had an ear infection 06/2000, and was prescribed medication but has recovered.


VAERS ID: 150474 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Montana  
Vaccinated:2000-03-16
Onset:2000-03-17
   Days after vaccination:1
Submitted: 2000-03-21
   Days after onset:4
Entered: 2000-03-28
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 467675 / 2 LL / IM
HIBV: HIB (ACTHIB) / CONNAUGHT LABORATORIES UA492AA / 2 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P03033 / 2 LL / SC

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-03-17
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Autopsy performed - results pending
CDC Split Type:

Write-up: Accidental suffocation 24 hours post vax.


VAERS ID: 150475 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Male  
Location: Illinois  
Vaccinated:2000-03-15
Onset:2000-03-17
   Days after vaccination:2
Submitted: 2000-03-29
   Days after onset:12
Entered: 2000-03-28
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private       Purchased by: Other
Symptoms: Cardiac arrest, Sudden infant death syndrome
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Cardiomyopathy (broad), Neonatal disorders (narrow), Respiratory failure (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-03-18
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Autopsy being performed
CDC Split Type:

Write-up: Pt received vaccination 2 days prior to arrival at ER in full cardiac arrest. Autopsy shows cause of death as sudden infant death syndrome


VAERS ID: 150478 (history)  
Form: Version 1.0  
Age: 16.0  
Sex: Female  
Location: Florida  
Vaccinated:2000-02-14
Onset:2000-02-25
   Days after vaccination:11
Submitted: 2000-03-22
   Days after onset:26
Entered: 2000-03-28
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 3204A2 / 3 RA / IM
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 46625 / 1 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1455J / 1 LA / IM

Administered by: Private       Purchased by: Public
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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Ct head, EEG, metabolic panel
CDC Split Type:

Write-up: Pt received vaccines on 2/14/00, and experienced a generalized seizure on 2/25/00. Pt''s mother states "shots caused the seizure".


VAERS ID: 150479 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Female  
Location: Mississippi  
Vaccinated:2000-03-21
Onset:2000-03-21
   Days after vaccination:0
Submitted: 2000-03-21
   Days after onset:0
Entered: 2000-03-28
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 917A2 / 2 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0053K / 2 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P0473 / 2 RL / SC

Administered by: Private       Purchased by: Public
Symptoms: Dyspnoea, Respiratory rate increased, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zantac, Reglan
Current Illness:
Preexisting Conditions: Reflux
Allergies:
Diagnostic Lab Data: Chest X-ray, EKG
CDC Split Type:

Write-up: Pt experienced 3 episodes of difficulty breathing, shaking and rapid respirations. No color change or loss of consciousness or high fever. Pt was hospitalized and was in no apparent distress.60 day follow-up dated 7/10/00 provided no additional data.


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