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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

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VAERS ID: 197986 (history)  
Form: Version 1.0  
Age: 1.0  
Sex: Male  
Location: New York  
Vaccinated:1998-08-25
Onset:1999-08-25
   Days after vaccination:365
Submitted: 2003-02-11
   Days after onset:1266
Entered: 2003-02-20
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0792H / 1 - / -
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0846H / 1 - / -

Administered by: Private       Purchased by: Other
Symptoms: Deafness, Headache, Social avoidant behaviour, Speech disorder
SMQs:, Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), 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:
CDC Split Type:

Write-up: After administering vaccines, we noticed regression and skills and he became increasingly despondent. The follow up states, "diagnosed with PDD." 60 month follow up: "Vaccine recipient did not recover from adverse events. He is autistic and lost skills he is beginning to regain inconsistently. He continues to struggle with absent thinking. Concepts and communication. Very little verbal language. Hard to focus." Follow up on 12/03/03: "Immunization record received." The medical record received on 2/12/04 states hearing loss, speech delay and headaches. Annual follow up on 03/05/04: "Pt has not recovered from adverse events. Autism, communication, learning problems and complex behavrious exhibited."


VAERS ID: 198000 (history)  
Form: Version 1.0  
Age: 2.0  
Sex: Female  
Location: Georgia  
Vaccinated:1997-10-09
Onset:1997-10-23
   Days after vaccination:14
Submitted: 2003-02-13
   Days after onset:1939
Entered: 2003-02-20
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1353D / 1 - / -

Administered by: Private       Purchased by: Unknown
Symptoms: Blood glucose increased, Candidiasis, Diabetes mellitus, Infection, Vomiting
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Child''s blood sugarwas 900 on 10/23/97
CDC Split Type:

Write-up: Child became a diabetic 12 days after having the varivax vaccine. Child first had a throat infection the following week. then about 3 days later started throwing up; got shot of Pherghan; then changed antibiotic and got thrash. The about 3 days later, diagnosed with Diabetes. Pt was dignosed with Type I diabetes, she will not recover from this takes 2-3 shots per day. Sticks finger at least 4 times a day. If you find any connection between the shot and her having diabetes- would you please let me know. Annual follow up on 04/14/04: "Pt has not recovered from adverse events. She has diabetes and takes 3 shots every day and sticks her finger 4 times a day. We have to buy 7 medications every month. In small children a virus can attack the pancreas and it will no longer produce insulin. The varicella shot is a live virus. Yes, where do we get help from for this child. No one in our family has diabetes on either side-so what happened? I just want help. My medical insurance is $500.00 a month. There is no cure for this side effect. We still got the chickenpox also.


VAERS ID: 198006 (history)  
Form: Version 1.0  
Age: 1.0  
Sex: Male  
Location: New York  
Vaccinated:1999-01-20
Onset:1999-02-27
   Days after vaccination:38
Submitted: 2003-02-07
   Days after onset:1441
Entered: 2003-02-20
   Days after submission:13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1179H / 1 - / IM
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / PFIZER/WYETH 454680 / 4 MO / PO
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1340 / 1 - / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Arthritis, Autism, Cognitive disorder, Constipation, Fatigue, Grand mal convulsion, Headache, Loss of consciousness, Muscular weakness, Nausea, Neurodevelopmental disorder, Pain, Psychomotor hyperactivity, Pyrexia, Viral infection, Vomiting projectile
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Convulsions (narrow), Akathisia (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Depression (excl suicide and self injury) (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Arthritis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CBC, SMA, BID Culture CXR, F. S. Gluc.
CDC Split Type:

Write-up: Approximately 36 days after receiving MMR, Varicella, OPV, 13 month infant spiked high temperature, projectile vomiting and tonic/clonic grand mal seizure 2.5 minutes with loss of consciousness about 30 seconds. Rescue 911 called during seizure. To ER. CPH, Lab work. Postical state muscle weakness. The 60 day follow-up states states autism/ PDD diag: 27 mos. Phys symptoms: chronic fatigue, transient temps, resp virral syndromes, hyperactivity, speech delay, cognitive poor alteraltion, difficulty comprehending words, nausea-constipation, bulky stools, diff-retrieving words, over sensitive sounds, arthritis type symptoms, headaches (self-injury). These are some residual symptoms since immunization 1/20/99. The follow up states, "diagnosed with autism and speech delay."


VAERS ID: 198346 (history)  
Form: Version 1.0  
Age: 1.5  
Sex: Male  
Location: Massachusetts  
Vaccinated:2001-02-27
Onset:2001-03-11
   Days after vaccination:12
Submitted: 2003-02-20
   Days after onset:711
Entered: 2003-02-26
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 635452/0788K / 2 - / SC

Administered by: Other       Purchased by: Other
Symptoms: Asthenia, Autism, Clumsiness, Difficulty in walking, Hypotonia, Muscular weakness
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (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: Albuterol; INTAL; Benadryl
Current Illness: NONE
Preexisting Conditions: Asthma; Autistic disorder; Disability NOS; Food allergy; Wart
Allergies:
Diagnostic Lab Data: Body height measurement: 39 inches; Body weight measurement: 40 pound;
CDC Split Type: WAES0302USA01300

Write-up: Information has been received from a pediatrician concerning a 19 month old male with asthma, food allergies and warts on his abdomen who on 12/4/00, at 15 months, was vaccinated with a first dose of varicella virus vaccine live (lot # 635454/1144K). On 2/27/01, at 18 months old, he was vaccinated with the second dose of varicella virus vaccine live. Concomitant therapy included alum, potassium (+) diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid (TRIPEDIA) (lot # U029915A), poliovirus vaccine (IPOL) (lot # R0692), cromolyn sodium (INTAL), diphenhydramine HCl (BENADYRL), and albuterol nebulizer (manufacturer unknown). On 3/11/01, at 19 months old, the patient had an acute muscle weakness with flaccid muscle tone. Upon waking from his nap, he was found by his mother to be unable to sit or stand up. It was reported that the child was extremely floppy, although he was still able to suckle. Roughly 6 hours after the onset of the incident, the patient crawled out of his mothers lap and walked across the floor and appeared fine. It was noted that over the next couple of months the patient appeared increasingly clumsy and weak. Follow up information received from a nurse indicated that the child has severe handicaps and has several problems. It was also noted that the child was autistic. The patient''s severe handicaps, several problems, and autism were considered to be incidental findings. The reporter felt that the patient''s experience was possibly disabling. Additional information has been requested. Reported on 03/26/2003: "Follow up information received from a physician indicated that on 03/11/2001, the office received a phone call from the parents of the child stating that the child was not able to sit up, was "dizzy" when he sat up, and cried when he went up to sit. The child was seen in the office and was diagnosed with right otitis media and tonsillitis. On 03/21/2001, the mother reported that the patient was "much better." It was noted that the patient recovered. Follow up information received from a physician indicated that the patient''s experience was not disabling. This report no longer meets the criteria for expedited submission because of follow up information indicated that the events were non-serious. Additional information has been requested. A 15-day follow report received 03/26/2003 adds no new info.


VAERS ID: 198590 (history)  
Form: Version 1.0  
Age: 1.6  
Sex: Male  
Location: Texas  
Vaccinated:2002-08-02
Onset:2002-08-02
   Days after vaccination:0
Submitted: 2003-02-13
   Days after onset:195
Entered: 2003-03-03
   Days after submission:18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM - / UNK LL / -
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UA671AA / UNK RL / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1206L / UNK RL / -
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0415M / UNK RL / -

Administered by: Public       Purchased by: Public
Symptoms: Agitation, Anaemia, Convulsion, Crying, Decreased appetite, Irritability, Leukopenia, Myositis, Osteomyelitis, Pyrexia, Sleep disorder
SMQs:, Rhabdomyolysis/myopathy (broad), Haematopoietic erythropenia (broad), Haematopoietic leukopenia (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Depression (excl suicide and self injury) (broad), Osteonecrosis (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (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? Yes, 60 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: Sickle cell trait
Allergies:
Diagnostic Lab Data:
CDC Split Type: TX03027

Write-up: 8/2 fussiness, lack of sleep and eating, screaming. 8/3 same as above, but getting worse, and temp. 8/4 same as above, temp. goes real high 103 and up. 8/5 same as above, had seizure, went to the hospital. The follow up states staph aureus osteomylitis, pyomyositis, anemia, and leukopenia.


VAERS ID: 198916 (history)  
Form: Version 1.0  
Age: 34.0  
Sex: Female  
Location: D.C.  
Vaccinated:2003-01-30
Onset:2003-02-14
   Days after vaccination:15
Submitted: 2003-02-28
   Days after onset:14
Entered: 2003-03-06
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Blister, Laboratory test abnormal, Malaise, Pyrexia, Rash, Rash vesicular, Skin ulcer
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), 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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Hormonal contraceptives; Iron; Lamictal; Lithium carbonate; Mocronor
Current Illness: NONE
Preexisting Conditions: Anxiety; Depression; Environmental allergy; Iron deficiency
Allergies:
Diagnostic Lab Data: Dermatological - confirmed chicken pox; Body temp 100.1F (fever); Diagnostic laboratory - Tzanck smear of lesion-multi-nucleated giant cells.; Body temp (02/19/2003) 101.1 F (fever); Chest x-ray (?/?/2003): Mediastinal lymph nodes; Dermatological (02/19/2003): confirmed chicken pox; Diagnostic Lab (02/19/2003): Tzanck smear of lesion--multi-nucleated giant cells; Lymphatic structure (?/?/2003): Non-Hodgkin''s lymphoma. Body temp (02/19/2003): 100.1 F-fever; Body temp (02/19/2003): 101.1 F-fever;
CDC Split Type: WAES0302USA02184

Write-up: Information has been received from a physician concerning a 34 year old female with depression, anxiety, iron deficiency, and environmental allergies who on 1/30/03 was vaccinated with a first dose of varicella virus vaccine live. It was reported that the patient told her physician that she was not pregnant. Concomitant therapy included hormonal contraceptives, lithium CO3, lamotrigine, norethindrone and iron. On 2/14/03 the patient developed a blister on her foot. By the next day, on 2/15/03, there were a few more lesions noted. On 2/19/03, the patient was seen in the physician''s office with a generalized rash on her face, chest, and back, about 100 lesions overall, some lesions looking pretty angry. It was also reported by a second physician that the patient had some blisters and wide spread herpes lesions. The patient was also noted to have general malaise and a fever of 100.1F. She had no headache or cough. The patient was sent to a dermatologist who confirmed chicken pox. The patient was prescribed valacyclovir HCL 1 G tid which reportedly should have been started on 2/19/03. It was reported that the patient''s depression and anxiety acted up considerably as a result of the chicken pox. On 2/21/03 it was reported by a physician that the patent had about 50 lesions with a fever. She reported that the patient was feeling better and that she would not be submitting a specimen for varicella zoster virus analysis. The reporter considered the adverse events to be disabling. Reported on 04/21/2003: "The patient''s chicken pox resolved in 10 to 14 days. The reported noted that subsequently, a chest x-ray showed mediastinal lymph nodes and a biopsy of a lymph node revealed non-Hodgkin''s lymphoma. The reporter considered the adverse events of chicken pox, depression and anxiety to be disabling. Non-Hodgkin''s lympoma was considered to be an incidental finding. Additional information has been requested. Reported on 05/14/2003: "Follow up information from the physician indicated that the patient did not return two phone calls made by the physician, but the patient''s oncologist reported that the patient "has been doing very well and seems upbeat". The reporter considered the adverse events of chicken pox, depression and anxiety to be disabling. Non-Hodgkin''s lymphoma was considered to be an incidental finding. Additional information is not expected.


VAERS ID: 199309 (history)  
Form: Version 1.0  
Age: 1.0  
Sex: Male  
Location: California  
Vaccinated:1996-07-03
Onset:1996-10-10
   Days after vaccination:99
Submitted: 2003-03-01
   Days after onset:2333
Entered: 2003-03-12
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 - / -
TTOX: TETANUS TOXOID (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 - / -

Administered by: Private       Purchased by: Private
Symptoms: Aggression, Antisocial behaviour, Autism, Neurological symptom
SMQs:, Dementia (broad), Hostility/aggression (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: Autism~DTP (no brand name)~4~1.00~In Patient|~Measles + Mumps + Rubella (MMR II)~2~5.00~In Sibling
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Autism. A 60-day follow up report states: Does not verbalize. No coherent speech sounds. Does not respond to simple commands. Not able to do self-care tasks. Far below grade level. Has been diagnosed with Autism. Severe neurological damage leading to autism. No language development or communication skills. Antisocial and aggression. He has to be watched/cared for twenty-four hours a day. He has no sense of harm or danger to himself or others.


VAERS ID: 199649 (history)  
Form: Version 1.0  
Age: 3.5  
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2003-03-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPH: DTAP + HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK MO / PO
VARCEL: VARICELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Difficulty in walking, Gait disturbance, Laboratory test abnormal, Lymphadenopathy, Osteomyelitis, Pain, Pyrexia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Osteonecrosis (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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Concomitant drugs not reported
Current Illness:
Preexisting Conditions: 2 otitis media infections, mild eczema controlled with non-steroidal cream, thigh furuncle, R lower lobe consolidation, MAC, 3mo history L lower leg pain, 3 wk fever up to 38.9C,mycobacterium avium infection.
Allergies:
Diagnostic Lab Data: Chest X-ray- abnormal,purified protein derivative skin test - positive, Bronchoscopy grew acid-fast bacilli, gastric aspirate positive for MC,Radiology findings were absent for bone tumors, leukemia was unlikely since there was a lack of organomegaly and there was a relatively norm 1 complete blood cell count, even though the pt had fever and lytic lesions. The reporters felt that the pt''s presentation with fever, bone pain, leukocytosis, elevated ESR, and lytic bone lesion was concerning for osteomyelitic.
CDC Split Type: PJP200300094

Write-up: A report was rec''d concerning a child vaccinated who experienced mycobacterium avium complex (MAC) osteomyelitis an unspecified length of time after receiving influenza vaccine (brand unspecified), DTaP with hepatitis B (brand unspecified), inactivated polio vaccine (brand unspecified), oral polio (brand unspecified), and varicella vaccine (brand unspecified) on an unknown date. No BCG was administered. On an unspecified date the pt presented with a 3 month history of L lower leg pain and a 3 wk history of fevers up to 38.9C. the leg pain was constant dull ache that had increased gradually. Her pain localized over the anterior L lower leg but there was no swelling or erythema. She had a noticeable limp and avoided walking. There was no improvement with non-steroidal anti-inflammatory drugs. The was no history of previous leg pain, trauma, lymph node swelling, rash, insect bite, viral infection or joint swelling. the pt''s mother had a history of recurrent MAC osteomyelitis. The pt was not toxic on physical exam but was anxious and guarded her left leg. Her temp was 38.5C, pulse 120 beats/minute, respiratory rate 28 breaths/minute, and blood pressure 85/45. the exam was remarkable for 1X1cm non tender, soft, mobile, L submandibular lymph node. Her L tibia was tender to palpation without visible edema or erythema. There was no lymphadenopathy or organomegaly. Laboratory date initially revealed a leukocyte count of 17,500 cells/mm3 with 50% lymphocytes, 37 % neutrophils and 1% eosinophils. The haemoglogin was 7.3 g/dl and the platelet count was 583,000 cell/mm3. Erythrocyte sedimentation rate (ESR) and C-reactive protein were elevated at 105 mm/hr and 8.1 mg/dl, respectively. Plain X-rays demonstrated lytic lesions of the tibia and femur. In the opinion of the reporters, the dx was unlikely to have been growing pains as massage and acetaminophen did not help. In addition, growing pains are intermittent, and she had progressive unilateral lower leg pain. Cellulitis was ruled out as there was a lack of localized swelling AND ERYTHEMA OVER THE SYMPTOMATIC AREAS. The pt''s newborn screen was negative for sickle cell disease and titers were no sickle cells on the peripheral blood smear thereby excluding sickle cell disease. The presence of the lutic lesions sad the absence of joint symptoms, make JRA unlikely. There was insufficient information to determine the reporters causality assessment.


VAERS ID: 200058 (history)  
Form: Version 1.0  
Age: 1.0  
Sex: Female  
Location: Kansas  
Vaccinated:1998-05-04
Onset:1998-05-05
   Days after vaccination:1
Submitted: 2003-03-16
   Days after onset:1776
Entered: 2003-03-24
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 7B91821 / UNK - / -
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 6L81450 / UNK - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0996D / UNK - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 447931 / UNK MO / PO
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 708E / UNK - / -

Administered by: Public       Purchased by: Other
Symptoms: Abnormal behaviour, Autism, Cognitive disorder, Drug toxicity, Drug withdrawal syndrome, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Drug abuse and dependence (broad), Drug withdrawal (narrow), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hostility/aggression (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:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever, loss of acquired speech, loss of eye contact, loss of normal interest in her environment. Later diagnosed autistic. Believe mercury damaged. 60 day follow up states pt has not recovered. Autism-severe.


VAERS ID: 201325 (history)  
Form: Version 1.0  
Age: 4.0  
Sex: Female  
Location: New York  
Vaccinated:1999-09-17
Onset:2002-12-30
   Days after vaccination:1200
Submitted: 2003-04-07
   Days after onset:97
Entered: 2003-04-11
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / PFIZER/WYETH - / 3 MO / PO
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0302J / 1 - / -

Administered by: Public       Purchased by: Other
Symptoms: Bacterial infection, Condition aggravated, Dermatitis bullous, Eczema, Infection, Rash erythematous, Skin exfoliation, Skin ulcer
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (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? Yes, 7 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Duricef; Clotrimazole; Diflucan
Current Illness:
Preexisting Conditions: Asthma, Body Tinea, Eczema
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0301USA01488

Write-up: Information has been received from a physician concerning a 4 year old black female with eczema and no known drug allergies who on 9/17/99 was vaccinated in the left anterior thigh with a first dose of varicella virus vaccine live (lot # 630414/0302J). Concomitant vaccination therapy on 9/17/99 included a third dose of the oral polio virus vaccine (OPV)(lot #79906). Concomitant therapy included clotrimazole (unsuccessful treatment for tinea corpus), cefadroxil and fluconazole (secondary treatment for tinea, corpus, without success). On 12/30/02, while the patinet was noted to have tinea corpus, the physician noted herpetic lesions in a circular formation around the body tinea. It was noted that these lesions were not similar to typical chicken pox lesions and that they were painful but not pruritic. On 1/4/03 the vesicular lesions broke out in asynchronous fashion. These lesions were all over the patient except on the mucus membranes. The patient also presented with diffuse rash with erythematous, scaly areas and sloughening of the skin. Due to the atypical nature of this infection, the patient was hospitalized. The patient was diagnosed with chicken pox by the hospital pediatric infectious disease specialist. The patient also developed a secondary bacterial superinfection and developed a severe exacerbation of her eczema. The patient was hospitalized for 7 days and subsequently recovered. The reporter noted that chicken pox was disabling and also prolonged hospitalization. No further information is expected.


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https://medalerts.org/vaersdb/findfield.php?EVENTS=ON&PAGENO=15&VAX[]=MMRV&VAX[]=VARCEL&VAXTYPES=Varicella&DISABLE=Yes&VAX_YEAR_HIGH=2019&VAX_MONTH_HIGH=05


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