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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 7 out of 2,099

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VAERS ID: 150765 (history)  
Form: Version 1.0  
Age: 1.6  
Sex: Male  
Location: Oklahoma  
Vaccinated:2000-03-22
Onset:2000-03-23
   Days after vaccination:1
Submitted: 2000-03-28
   Days after onset:5
Entered: 2000-04-05
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 467011 / 4 RL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1478J / 2 RL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. P0905 / 2 LL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 471226 / 1 LL / -

Administered by: Private       Purchased by: Private
Symptoms: Cellulitis, Injection site erythema, Injection site mass, Injection site oedema, Injection site reaction
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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Speech delay, otitis media-recurrent
Allergies:
Diagnostic Lab Data: CBC, Blood culture
CDC Split Type:

Write-up: Swelling, induration and erythema of right thigh with fever. Admitted to hospital and treated for possible cellulitis.


VAERS ID: 150781 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: New Mexico  
Vaccinated:2000-03-30
Onset:0000-00-00
Submitted: 2002-06-05
Entered: 2000-04-06
   Days after submission:790
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U0040CA / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1806J / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 560903A / 1 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. P0474 / 1 RL / -

Administered by: Private       Purchased by: Public
Symptoms: Convulsion, Hypotonia, Respiratory arrest
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Cleft palate
Allergies:
Diagnostic Lab Data:
CDC Split Type: U2000001942

Write-up: Reportedly, 18 hours post vax, the pt experienced an apparent seizure, became limp and respiratory arrest. The pt was hospitalized. Additional information is being requested. From faxed correspondence received on 06/04/02, additional follow-up info received. It was reported that the pt was hospitalized for two days. Pt subsequently recovered from the respiratory arrest in forty-eight hours. The outcome of the convulsion was not reported. On 06/13/00, pt received the second dose of hep B vaccine recombinant, in the right thigh (lot 634424/1806J) and on 01/26/01 received the third dose of haemophilus b conjugate vaccine/hep B vaccine recombinant in the right thigh (lot number 636995/1034K) no adverse event was reported. The reporting physician felt that the respiratory arrest was an other medical event. No further info is available.


VAERS ID: 150874 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Texas  
Vaccinated:2000-04-06
Onset:2000-04-06
   Days after vaccination:0
Submitted: 2000-04-07
   Days after onset:1
Entered: 2000-04-10
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (CERTIVA) / NORTH AMERICAN VACCINES 1004R / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 512453A / 2 RL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. P0474 / 2 LL / IM

Administered by: Private       Purchased by: Public
Symptoms: Apnoea, Bronchiolitis, Cardiac arrest, Chills, Hypotonia, Nasal congestion, Pulmonary congestion, Pulmonary oedema, Sudden infant death syndrome, Tracheobronchitis
SMQs:, Torsade de pointes/QT prolongation (broad), Cardiac failure (narrow), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Interstitial lung disease (narrow), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Neonatal disorders (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Respiratory failure (narrow), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-04-07
   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: Amoxil completed on 4/3/2000 and Panmist
Current Illness: Cold
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Autopsy at examiner''s office
CDC Split Type:

Write-up: Child presented to ER, lifeless and not breathing. Baby cool with rigor mortis. Mom had fed infant at 13:30 and he was fine. At 17:00, noted to be pale and lifeless. CPR began and brought to ER. Autopsy shows pulmonary vascular congestion, pulmonary edema, tracheobronchitis with bronchiolotis and peri-bronchiolar pulmonary inflammation, generalized visceral congestion, sudden infant death


VAERS ID: 150898 (history)  
Form: Version 1.0  
Age: 12.0  
Sex: Female  
Location: Wyoming  
Vaccinated:2000-03-08
Onset:2000-03-08
   Days after vaccination:0
Submitted: 2000-03-08
   Days after onset:0
Entered: 2000-04-11
   Days after submission:33
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / CONNAUGHT LTD. U0061AA / UNK RA / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1668J / 3 LA / IM

Administered by: Other       Purchased by: Public
Symptoms: Convulsion, Gastroenteritis, Nausea, Otitis media, Vomiting, White blood cell count increased
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (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), Noninfectious diarrhoea (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tegretol, Depakote
Current Illness: NONE
Preexisting Conditions: Seizure disorder, Cerebral Palsy
Allergies:
Diagnostic Lab Data: O2 saturation-nml, Labs-nml, WBC-slightly elevated
CDC Split Type:

Write-up: Nausea, vomiting and seizures started post vax, after finishing speech therapy at home. Parents brought her to ER. Parents had permission for her to receive both vaccines prior to today''s administration by DR. Pt was seen in ER and dx''d with probable viral gastroenteritis, right otitis media. She was kept in hospital overnight to control her vomiting and watch for potential aspiration and re-evalualte her in the AM.


VAERS ID: 150901 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Female  
Location: Texas  
Vaccinated:2000-02-25
Onset:2000-02-27
   Days after vaccination:2
Submitted: 2000-04-05
   Days after onset:37
Entered: 2000-04-11
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (CERTIVA) / NORTH AMERICAN VACCINES D004R / 2 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1804J / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 56753A / 2 RL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. P0568 / 2 LL / SC

Administered by: Unknown       Purchased by: Public
Symptoms: Asthma, Convulsion, Eye movement disorder, Otitis media, Tremor
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Ocular motility disorders (narrow), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (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:
Other Medications: Albuterol Elixir, Naldecon Infant drops
Current Illness: Bronchitis
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CBC, UA, Electrolytes, CT of head, EKG, EEG - all wnl.
CDC Split Type:

Write-up: Post vax, child was admitted to hospital after history of 3 episodes of eyes rolling back, followed by arm then leg shaking. Observed by parents. NO episodes during admission. Dismissed 02/28/2000. Final dx was possible seizure, bilateral otitis media, possible asthma. MD recommended no pertussis vax in the future.


VAERS ID: 150931 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Massachusetts  
Vaccinated:2000-03-31
Onset:2000-04-01
   Days after vaccination:1
Submitted: 2000-04-04
   Days after onset:2
Entered: 2000-04-13
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 40040CA / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 530453A / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. PO257 / 1 LL / IM

Administered by: Private       Purchased by: Private
Symptoms: Respiratory arrest
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (broad), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-04-01
   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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Autopsy
CDC Split Type:

Write-up: Pt was well and went to sleep at approximately 10:30 pm. Found at 6:00 am not breathing. Pt had been put to sleep on her side but was found on stomach.


VAERS ID: 150937 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Ohio  
Vaccinated:2000-02-25
Onset:2000-02-26
   Days after vaccination:1
Submitted: 2000-03-20
   Days after onset:23
Entered: 2000-04-13
   Days after submission:23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 7389AA / 1 LL / SC
HIBV: HIB (HIBTITER) / PFIZER/WYETH 450253A / 1 RL / SC
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. PO998 / 1 LL / SC

Administered by: Private       Purchased by: Public
Symptoms: Cough, Crying, Pyrexia, Rhinorrhoea, Screaming
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hostility/aggression (broad), Depression (excl suicide and self injury) (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:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Blood, urine, CSF - cultures were negative. Chest x-ray - negative.
CDC Split Type:

Write-up: Non-stop screaming, approximately 36 hours. Hospitalization 02/27/2000 to 3/01/2000. Nasal Discharge, mild cough, low grade fever. Started on empiric antibiotics of cefotaxime. On IV antibiotics and fluids while in hosp. Discharge summary states: sepsis ruled out.


VAERS ID: 150938 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: New York  
Vaccinated:2000-03-29
Onset:2000-03-29
   Days after vaccination:0
Submitted: 2000-04-04
   Days after onset:5
Entered: 2000-04-13
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0173CA / 1 RL / IM
HIBV: HIB (ACTHIB) / CONNAUGHT LABORATORIES UA488AA / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. R03982 / 1 LL / -

Administered by: Private       Purchased by: Private
Symptoms: Agitation, Diarrhoea, Heart rate increased, Pallor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Pseudomembranous colitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Hypotonic-hyporesponsive episode (broad), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad), Dehydration (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:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: heart monitor
CDC Split Type:

Write-up: Immediate reaction-pale, rapid heart rate. No treatment. Apparently recovered but transported to hospital for observation overnight. Admitted for 24 hrs. Some crying and agitation through the night. Mild diarrhea and crankiness after discharge. Essentially recovered.


VAERS ID: 150962 (history)  
Form: Version 1.0  
Age: 1.0  
Sex: Male  
Location: Texas  
Vaccinated:2000-02-17
Onset:2000-03-05
   Days after vaccination:17
Submitted: 2000-03-08
   Days after onset:3
Entered: 2000-04-14
   Days after submission:36
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (CERTIVA) / NORTH AMERICAN VACCINES DOC4R / 3 RL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 3088A2 / 3 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 570403A / 3 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. P06582 / 3 RL / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1273J / 1 LL / SC

Administered by: Public       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, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: 00TX30

Write-up: 3 seizures on 3/5/00 requiring visit to the hospital. Now at home.


VAERS ID: 150965 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2000-03-09
Onset:2000-03-10
   Days after vaccination:1
Submitted: 2000-03-15
   Days after onset:5
Entered: 2000-04-14
   Days after submission:29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 918A2 / 1 RL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1477J / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P0905 / 1 RL / SC

Administered by: Private       Purchased by: Public
Symptoms: Decreased appetite, 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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Blood culture, CBC, Urine, Chem 7 (all negative)
CDC Split Type:

Write-up: Pt experienced a fever of 102.2 within 72 hours of vaccination given on 3/9/00. Pt was hospitalized on 3/12/00 because of fever rising from 100 - 103 over a period of 48 hours with a decrease of appetite. Symptoms resolved.


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