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From the 7/16/2021 release of VAERS data:

Found 784 cases where Vaccine targets Varicella (MMRV or VARCEL) and Disabled and Vaccination Date on/before '2019-05-31'



Case Details

This is page 12 out of 79

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VAERS ID: 184705 (history)  
Form: Version 1.0  
Age: 33.0  
Sex: Female  
Location: Ohio  
Vaccinated:2001-02-09
Onset:2001-02-21
   Days after vaccination:12
Submitted: 2002-05-15
   Days after onset:447
Entered: 2002-05-16
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Rash erythematous, Skin ulcer
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: WAES01040251

Write-up: Information has been received from a physician concerning a 33 year old Asian female with no past medical history who on 02/09/2001 at 10:45 was vaccinated with a first dose of Varicella virus vaccine live, There was no concomitant medication or illness at the time of vaccination. On 02/21/2001, the patient was seen by a physician who noted Varicella lesions at the injection site with appeared as a red rash. The patient''s experience was considered to be disabling by the reporter as the patient was unable to work from 02/21/2001- until 02/27/2001 since she is a registered nurse and was not allowed to have patient contact. On 02/27/2002, the patient recovered. No further information is expected.


VAERS ID: 185915 (history)  
Form: Version 1.0  
Age: 1.08  
Sex: Male  
Location: Texas  
Vaccinated:2001-11-27
Onset:2001-11-28
   Days after vaccination:1
Submitted: 2002-05-16
   Days after onset:168
Entered: 2002-05-31
   Days after submission:15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS 522A2 / UNK LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR - / UNK - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH - / UNK - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / UNK RL / -

Administered by: Other       Purchased by: Private
Symptoms: Injection site induration, 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? Yes
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: A0355895A

Write-up: Report A0355895A describes an injection site reaction in a 13 month old male who received Infanrix. Medical history, concurrent conditions, and concurrent medications were not specified. There was no illness at the time of immunization. On 1/27/2001, the vaccinee received an injection of Infanrix into the right thigh; it was not known if he had received previous injections of Infanrix. On that date, he also received injections of MMR, ActHIib, Varivax and Prevnar. On 11/28/2001, one day post-immunization, he experienced an injection site, characterized by a 10cm area of redness and swelling, at the site of Infanrix administration. "Severe" induration was present in the center of this area. The reporter stated that "it looks like cellulitis." The events resolved by 12/01/2001. The physician indicated that the injection site induration was severe in intensity, disabling/incapacitating, and related to Infanrix administration.


VAERS ID: 185916 (history)  
Form: Version 1.0  
Age: 4.0  
Sex: Male  
Location: Texas  
Vaccinated:2001-11-27
Onset:2001-11-28
   Days after vaccination:1
Submitted: 2002-05-16
   Days after onset:168
Entered: 2002-05-31
   Days after submission:15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS 522A2 / UNK LL / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Other       Purchased by: Private
Symptoms: Injection site erythema, Injection site induration, Injection site reaction, Injection site swelling
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? Yes
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: A0355897A

Write-up: Report A0355897A describes an injection site reaction in a 4 year old male who received diphtheria and tetanus toxoids and acellular pertussis vaccine absorbed. Medical history, concurrent conditions, and concurrent medications were not specified. There was no illness at the time of immunization. The vaccinee had no adverse experiences following receipt of prior immunizations. On 27 NOV 2001, the vaccinee received an injection of Infanrix (lot DTPA522A2); it was not known if he had received previous injections of Infanrix. He also received an injection of varicella virus vaccine. on 28 NOV 2001, one day post immunization, he experienced an injection site reaction characterized by a 10 cm arean of redness and swelling, at the site of Infanrix administration. Severe induration was present in the center of this area. The reporter stated that it looks like cellulitis. The events resolved on 01 DEC 2001. The physician indicated that the injection site induration was severe in intensity, disabling/incapacitating, and related to Infanrix administration.


VAERS ID: 186093 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Male  
Location: Florida  
Vaccinated:2000-11-09
Onset:2000-11-16
   Days after vaccination:7
Submitted: 2001-11-07
   Days after onset:356
Entered: 2002-06-06
   Days after submission:210
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1266K / 2 RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0172K / 1 LA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0931K / 1 RA / SC

Administered by: Private       Purchased by: Other
Symptoms: Autism, Fatigue, Irritability, Mental retardation severity unspecified, Neurodevelopmental disorder, Pyrexia, Rash maculo-papular
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Amoxil was prescribed the same day as vaccination.
Current Illness: (Redness); cold; ear infection
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: On 11/16/00, ran a fever of 100.5F, cranky and tired. Gave Tylenol. On 11/17/00, ran a fever of 100F, cranky, tired and gave Tylenol. On 11/18/00, started developing a rash (red spots). On 11/19/00, was totally covered with the rash. On 11/20/00, went back to the doctor and he said red rash (maculopapular lesions) were present, basically he had the measles. I was told he was contagious and not to be around my pregnant sister-in-law for Thanksgiving. He had his MMR on the 9th of November. The rash continued for approx. 1 week longer but no fever was present. The doctor prescribed a stronger form of Benadryl for itching and oatmeal baths. He said he may be light sensitive. The pt was developing normally until these immunizations were administered. Since then he has slowly lost the 10-15 words that he had in his vocabulary. At the age of 2, he no longer had any words. He was dx''d with developmental language disorder on 7/24/01 and with developmental delay on 10/2/01. His pediatrician is concerned that he has PDD. Following these concerns, we received a dx of autism.


VAERS ID: 186278 (history)  
Form: Version 1.0  
Age: 1.25  
Sex: Male  
Location: Texas  
Vaccinated:2000-11-27
Onset:2000-11-27
   Days after vaccination:0
Submitted: 2002-06-03
   Days after onset:552
Entered: 2002-06-11
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 5177A2 / 1 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0979K / 1 RL / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1265K / 1 LL / SC

Administered by: Private       Purchased by: Other
Symptoms: Abnormal behaviour, Lethargy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Fever~DTaP + Hib (no brand name)~4~1.00~In Patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Speech/hearing tests, autistic spectrum test. An annual follow up report received 6/26/2003 adds: Pt is still non-communicative and stil has severe social and speech developmental delays. He will still have to attend special education next year.
CDC Split Type:

Write-up: High fever, lethargic, seemed to withdraw, within hours of vaccines, less vocal, still receiving therapy still in speech therapy. Numerous speech/hearing tests and autistic spectrum test. Diagnosed with speech delay and behavioral problems by PCP.


VAERS ID: 186411 (history)  
Form: Version 1.0  
Age: 4.0  
Sex: Male  
Location: Arkansas  
Vaccinated:2000-09-01
Onset:2001-07-17
   Days after vaccination:319
Submitted: 2002-06-11
   Days after onset:329
Entered: 2002-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 610039CA / 1 LA / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P0997 / 1 RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0408K / 2 RA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1855J / 1 LA / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Hypoacusis
SMQs:, Hearing impairment (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: 7/17/01 Center for ENT & Allergy 12/4/01 Center for ENT & Allergy 1/15/02 Center for ENT & Allergy 8/14/01 Hospital
CDC Split Type:

Write-up: Pt had perfect hearing (25 db each ear) at during a hearing screening on the same day as his vaccination. In June of 2001, after no trauma, ear infections, or other obvious reasons, pt has no hearing in his right ear. After several hearing tests, he only hears 80-90 db in his right ear. The doctors have confirmed ther is no trauma, no tumor, no bone damage. There was never a concern for his hearing until June 2001.


VAERS ID: 186450 (history)  
Form: Version 1.0  
Age: 1.0  
Sex: Male  
Location: California  
Vaccinated:1998-12-01
Onset:1998-12-01
   Days after vaccination:0
Submitted: 2002-06-09
   Days after onset:1285
Entered: 2002-06-13
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2712A2 / 3 - / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH 361503A / 4 - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1003H / 1 - / -
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / PFIZER/WYETH 0793H / 1 MO / PO
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1061H / UNK - / -

Administered by: Private       Purchased by: Private
Symptoms: Autism, Laboratory test abnormal
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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:


VAERS ID: 186488 (history)  
Form: Version 1.0  
Age: 1.08  
Sex: Male  
Location: Texas  
Vaccinated:2000-09-27
Onset:2000-10-09
   Days after vaccination:12
Submitted: 2002-06-07
   Days after onset:606
Entered: 2002-06-14
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 4 - / -
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
VARCEL: VARICELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private       Purchased by: Unknown
Symptoms: Abnormal behaviour, Autism, Mental retardation severity unspecified, Neurological symptom
SMQs:, Dementia (broad), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hostility/aggression (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Didn''t respond to name, no eye contact, laugh when it hurt, quit crawling and trying to walk, quit talking, babbling, totally regressed. The 60 day follow-up states: My child never recovered from the "crash" that he had shortly after his one year immunizations. My child has subsequently been diagnosed as having autistic spectrum disorder. More recently one of his doctors has added the label of mild mental retardation. My child was developing normally, was meeting expected developmental milestones, beginning to talk, walk, etc. until the time of his shots. After the shots, he regressed, and developed his current symptoms.


VAERS ID: 186559 (history)  
Form: Version 1.0  
Age: 0.63  
Sex: Female  
Location: Florida  
Vaccinated:2002-01-21
Onset:2002-01-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2002-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 989A2 / 3 LL / -
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0933L / 2 RL / -

Administered by: Private       Purchased by: Public
Symptoms: Dyskinesia, Eye movement disorder, Infantile spasms, Opisthotonus
SMQs:, Neuroleptic malignant syndrome (broad), Convulsions (narrow), Dyskinesia (narrow), Dystonia (narrow), Noninfectious encephalopathy/delirium (broad), Ocular motility disorders (narrow), Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? Yes
Previous Vaccinations: seizures~DTaP (no brand name)~~2.00~In Patient
Other Medications: ACTH; Phenobarbatil; Kepyoa
Current Illness: Developmental Delay
Preexisting Conditions: Developmental Delay
Allergies:
Diagnostic Lab Data: EEG shows seizure, spike and slow wave
CDC Split Type:

Write-up: Infantile spasms, arms jerk over head, eyes roll back, back arch. and legs bow inward. She takes ACTH shot once a day. Kepyoa, phenobarbitil and Topanax. Seizures have not stopped. Epilepsy 24 hrs a day.


VAERS ID: 186812 (history)  
Form: Version 1.0  
Age: 1.2  
Sex: Male  
Location: Wisconsin  
Vaccinated:1997-04-08
Onset:1997-05-30
   Days after vaccination:52
Submitted: 2002-05-09
   Days after onset:1805
Entered: 2002-06-21
   Days after submission:43
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 - / -
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 - / -

Administered by: Private       Purchased by: Other
Symptoms: Abnormal behaviour, Antisocial behaviour, Autism, Neurodevelopmental disorder, Psychomotor hyperactivity, Pyrexia, Speech disorder
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Akathisia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hostility/aggression (narrow), 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? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Autism~Vaccine not specified (no brand name)~~1.00~In Patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt diagnosed with PDD NOS (mid form of autism) at 3.5 years. Symptoms noticed at 18 months. Treated with behavioral therapy, vitamins and nautral detox for heavy metals. Symptoms included speech delays, tantrusm, no eye contact, abnormal play, not social. Cumulative effect of various vaccines and possibly mercury build up from vaccines. The following are the pt''s immunization record: 02/12/96 hep B; 03/25/96 Tetramune, OPV, Hep B; 05/22/96 DPT/Hib, polio; 07/17/96 DPT/Hib, polio; 02/11/97 Tetramune, Hep b. On 06/02/97, fever of 103 deg since 05/30; told it was viral. 18 month visit temperament tantrums. 2 year visit temperament tantrums. 2 8/12 year visit consult to birth to three program after continuing to complain to doctor that all transitions are difficult, speech delays and speaking "own language," obsessive compulsive behavior, abnormal play and social prob. 02/16/99, 3year continues tantrums. Started speech and OT at school. On 06/28/99, got PDD-NOS diagnosis. 10/99 started behavioral therapy with wise early autism project. 03/16/2000, requested labs RE:Immune deficiency-refused immunizations-told not to return. 01/25/2001, started vitamin therapy and natural detox for 6 months. 02/28/2001, titer done for MMR. 05/16/01, IPV given. 08/2001, completed therapy-dropped speech and OT at school. The annual follow up received on 7/17/03 states, "pt was diagnosed with PDD-NOS, a mild form of autism at age 3. Through therapy (speech, occupational, and behavioral) and natural supplements and delox therapy, I would sy pt is 90-95% recovered. Some behavioral problems remain as well as sound hypersensitivity and some learning disabilities and hyperactivity." A 60-day follow report received 9/9/2002 adds: Pt has a mild form of autism including hearing sensitivity; difficulty with social aspects of life, rigid play, some difficulty with transitions and other sensory issues. Pt has made a lot of progress with therapy-behavioral, speech and occupational therapy. These 2 vaccines were given at the county health dept due to switching insurance and jobs. Actual diagnosis was obtained at the neuropsychiatric clinic. Received therapy for 2 years and speech and occupational therapy through another program and then school.


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