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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 17 out of 79

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VAERS ID: 205565 (history)  
Form: Version 1.0  
Age: 1.0  
Sex: Female  
Location: California  
Vaccinated:2003-02-10
Onset:2003-02-11
   Days after vaccination:1
Submitted: 2003-06-28
   Days after onset:136
Entered: 2003-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RL / -

Administered by: Private       Purchased by: Unknown
Symptoms: Convulsion, Cyanosis, Electroencephalogram abnormal, Infantile spasms, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Neonatal disorders (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), 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? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: All tests negative: spinal tap, blood work, urine, metabolic, MRI. EEG abnormal.
CDC Split Type:

Write-up: The day after her MMR shot she passed out and did three rhymic movements. Then 10 days later she began to turn blue around her fingers, lips and toes randomly throughout the day. Finally on the day she turned 15 months old she went into seizures. She has been diagnosed with Infantile Spasm Epilepsy. No medical reason for her to have this sickness. The medical record received on 2/18/04 states pt vomited.


VAERS ID: 206140 (history)  
Form: Version 1.0  
Age: 47.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2001-03-07
Onset:2001-04-18
   Days after vaccination:42
Submitted: 2003-07-08
   Days after onset:811
Entered: 2003-07-14
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 2 LA / IM

Administered by: Other       Purchased by: Public
Symptoms: Angiogram pulmonary, Blood immunoglobulin G decreased, Colitis collagenous, Diarrhoea, Duodenitis, Gastritis, Inflammatory bowel disease, Pain, Pulmonary vasculitis, White blood cell disorder
SMQs:, Haematopoietic leukopenia (broad), Interstitial lung disease (narrow), Pseudomembranous colitis (broad), Gastrointestinal nonspecific inflammation (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Eosinophilic pneumonia (narrow), Vasculitis (narrow), Noninfectious diarrhoea (narrow), Immune-mediated/autoimmune disorders (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: Serum sickness~Rabies (no brand name)~~13.00~Patient
Other Medications:
Current Illness: None known but unfrozen specimen indicate hypogammoglobulinemia
Preexisting Conditions: Irritable bowel (24 years ago; serum sickness to antirabies toxin 1967). Previous serum sickness, hypersensitivity to rabies series 1967.
Allergies:
Diagnostic Lab Data: IGC levels pre and post vaccine; pathology of collagenous colitis, ct pulmonary vasculitis of autoimmune origin
CDC Split Type:

Write-up: Baseline normal CBC, abnormal WBC diffs since administration. Development of inflammatory bowel disease; collagenous colitis. Progressed from mild to serious, on long term disability at this time. The 60 day follow up received on 10/1/03 states continued inflammatory bowel disease, gastritis, duodualitis, unable to work, pain, diarrhea, inconsistent lab values. Follow up on 11/10/04 states: "I am a nurse who made a report last year. I recently discovered the source of my health problems is an IgG deficiency, which would have appeared around the same time as my varicella injection. I was not born with it. Please advise me of any other reports that indicate an immune system disorder. There are 292 cases listed in MMWR 01/24/03. Thank you." Follow-up Information 28-SEP-2007: Suspect if Varicella injection x 2 administered to titer immune 47 y.o. woman as healthy control in research study. Pt stated asymptomatic of health problem, CBS and diff prevaccine normal. Pt began to experience symptoms of autoimmune collagenous collitis within 3 weks post injection. Patient developed multiple diseases of potential autoimmune etiology. Frozen specimens prevaccine frozen and found pt to have Hypogammaglobulinemia preinjection which is contraindication provoking CVID.


VAERS ID: 206189 (history)  
Form: Version 1.0  
Age: 1.0  
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2003-07-09
Entered: 2003-07-15
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Condition aggravated, Diabetes mellitus
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
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: UNK
Current Illness:
Preexisting Conditions: Diabetes
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES0307USA00247

Write-up: Information has been received from a registered nurse concerning a 12 month old female with diabetes who in approximately 1999 was vaccinated with a dose of varicella virus vaccine live. Shortly thereafter the child was insulin dependent. Prescription drug treatment was required. Unspecified medical attention was sought. There was no product quality complaint involved. The nurse said that she did not have a release from the parents and refused any additional information . At the time of this report, the child was 4 years old. The insulin dependent diabetes was considered to be immediately life-threatening and disabling. Additional information has been requested.


VAERS ID: 206951 (history)  
Form: Version 1.0  
Age: 1.0  
Sex: Male  
Location: California  
Vaccinated:2000-08-18
Onset:2000-10-04
   Days after vaccination:47
Submitted: 2003-07-15
   Days after onset:1014
Entered: 2003-08-04
   Days after submission:20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0811K / 3 - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0978K / 1 - / -
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0447K / 1 - / -

Administered by: Private       Purchased by: Private
Symptoms: Autism, Pyrexia, Social avoidant behaviour
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Noninfectious encephalopathy/delirium (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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Dermatop for eczema
Current Illness: NONE
Preexisting Conditions: Eczema
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: On 10/4/2000, pt had high fever 105 that lasted for 5 days. Since then he has started withdrawal and has progress into autism. He was diagnosed with autism in August 2002. Receiving ABA intemention. Follow up on 10/31/2003: "Vaccine recipient did not recover from adverse events. Autistic behaviors - lack of eye contact, socialization ability, language delay, repetative behaviors (eg. language and hooked on numbers), digestive problems and picky eating, sensory dysfunction. We found measel antivirus still in his body in addition to mercury due to vaccinations."


VAERS ID: 207993 (history)  
Form: Version 1.0  
Age: 1.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2002-12-10
Onset:2002-12-18
   Days after vaccination:8
Submitted: 2003-08-13
   Days after onset:237
Entered: 2003-08-19
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS 5254C9 / 3 RL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0925M / 1 LL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 485987 / 4 LL / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0789M / 1 RL / SC

Administered by: Private       Purchased by: Private
Symptoms: Arthralgia, Dehydration, Joint swelling, Pyrexia, Rash maculo-papular, Red blood cell sedimentation rate increased, Rheumatoid arthritis, Tachycardia, Thrombocythaemia, Weight decreased
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (narrow), Immune-mediated/autoimmune disorders (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? Yes, 12 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Lactulose; Mylanta; Prilosec
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Elevated sedimentation rate, thrombocytosis.
CDC Split Type:

Write-up: 8 days after vaccination developed maculopapular rash, fever joint swelling (multiple), tachycardia. Symptoms prolonged requiring hospitalization. Final diagnosis systemic onset juvenile rheumatoid arthritis. Still with JRA symptoms. 60 day follow up on 11/05/2003: "Vaccine recipient did not recover from the adverse events. Still having acute flare of juvenile rheumatoid arthritis (systemic) requiring methotrexate and oral steroids." The discharge summary received on 1/12/04 confirms diagnosis of juvenile rheumatoid arthritis. Also add joint pain, dehydration and weight loss.


VAERS ID: 209309 (history)  
Form: Version 1.0  
Age:   
Sex: Male  
Location: Kansas  
Vaccinated:2001-11-20
Onset:2001-11-28
   Days after vaccination:8
Submitted: 2003-09-06
   Days after onset:646
Entered: 2003-09-16
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0903L / 1 LL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 483168 / 4 LL / -
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0827L / 1 RL / -

Administered by: Private       Purchased by: Unknown
Symptoms: Agitation, Antisocial behaviour, Autism, Cognitive disorder, Crying, Dysphonia, Neurodevelopmental disorder, Pharyngitis, Pyrexia, Rhinitis, Speech disorder
SMQs:, Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Oropharyngeal infections (narrow), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (narrow), Depression (excl suicide and self injury) (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:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 7/15/03 Autism diagnosis.
CDC Split Type:

Write-up: 11/26/01 Fever 102. Patient also seemed agitated. Took to doctor on 11/28/01; developed a cold and crying. 12/26/01 cold still, raspy voice, taking Amoxil; fever down 100.5. 1/10/02 cold still. 1/25/02 cold still; taking Zyrtec. 2/2/02 Switched doctors; took off milk and cleared up in 3 days. 2/12/02 Pneumonia; Biavil. The 60 day follow up received on 12/24/03 states autism diagnosis 7/15/03. Areas of concern: communication, imitation skills (motor and vocal), transitions and following one step directions. marked impairment in the use of multiple nonverbal behaviors. Lack of spontaneous seeking to share enjoyment, interests or achievements with others. Lack of social or emotional reciprocity. Delay in or total lack of development of spoken language. Lack of varied, spontaneous make-believe or social imitative play. Encompassing preoccupation with interest that is abnormal in intensity or focus. Stereotyped and repetitive motor mannerism for walking, hair twirling. Persistent preoccupation with parts of objects (visual inspection). Nurse follow up on 08/19/04 states: "autism; Language disorder."


VAERS ID: 209472 (history)  
Form: Version 1.0  
Age: 1.0  
Sex: Male  
Location: Texas  
Vaccinated:2002-09-30
Onset:2002-10-02
   Days after vaccination:2
Submitted: 2003-09-12
   Days after onset:345
Entered: 2003-09-22
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0434M / 1 - / -
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0567M / 1 - / -

Administered by: Private       Purchased by: Public
Symptoms: Drug toxicity, Dyspnoea, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Anticholinergic syndrome (broad), Drug abuse and dependence (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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: Rondec DM lystex
Current Illness: URI cough diaper rash
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CARS assessment for autism.
CDC Split Type:

Write-up: Hives covering entire body; heavy and labored breathing. Treated in ER with Benadryl and continued with Benadryl for 2 days. The 60 day follow up received on 12/3/03 stated autism caused by mercury poisoning-undergoing testing for mercury poisoning at this time. "Leaky gut" syndrome causing pt to be on a special diet and supplements.


VAERS ID: 209788 (history)  
Form: Version 1.0  
Age: 1.25  
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2003-09-26
Entered: 2003-09-30
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Encephalitis
SMQs:, Noninfectious encephalitis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0309USA02133

Write-up: Information has been received from a company representative concerning a 15 month old patient, who in 1995, was vaccinated with a dose of varicella virus vaccine live (lot number unknown). The company representative heard from a certified midwife about the patient who in 1995 received the varicella virus vaccine live shot and two weeks later developed encephalitis, was hospitalized, and died two weeks later. It was noted this occurred at a different clinic than where the nurse midwife is currently working. It was noted the patient''s gender was reported unknown (also reported as she). The cause of death was reported unknown. No additional information was provided. There was no product quality complaint reported. The encephalitis was considered to be immediately life threatening and disabling. Additional information has been requested. A 15-day follow report received 10/02/2003 adds: This is an amended report. The reporter has been changed, and the narrative has been updated to reflect the info. This report has been corrected as amended. Follow-up info was received, which reported that the certified nurse midwife, who was the original reporting source, indicated she had taken care of a mother, who tole her she had a child who received varicella virus vaccine live, experienced encephalitis and died two weeks later. The nurse midwife indicated she now worked at another practice and was unable to remember the name of the mother or the child. She did not know whether an autopsy had been done, and indicated that she had previously reported everything she knew. The case was considered closed, since no new info would be forth coming. The encephalitis was considered to be immediately life-threatening and disabling. A 15-day follow up report received 10/15/2003 adds no new info. Follow up on 11/25/2003: "No further information is available, since the reporter no longer had access to the patient''s records, nor could any details be remembered."


VAERS ID: 210912 (history)  
Form: Version 1.0  
Age: 39.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2000-11-12
Onset:2002-02-10
   Days after vaccination:455
Submitted: 0000-00-00
Entered: 2003-10-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / UNK - / -
TD: TD ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Private       Purchased by: Private
Symptoms: Difficulty in walking, Diplopia, Dizziness, Dysuria, Epistaxis, Fatigue, Feeling hot, Gastrointestinal disorder, Headache, Hyperhidrosis, Muscle spasms, Nausea, Oedema peripheral, Renal failure, Tinnitus, Vertigo, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Cardiac failure (broad), Acute pancreatitis (broad), Angioedema (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hearing impairment (narrow), Vestibular disorders (narrow), Ocular motility disorders (broad), Chronic kidney disease (narrow), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 9 days
   Extended hospital stay? No
Previous Vaccinations: it was like major attack leaving me with permenant damage that took 3 years to diagnose as of March 2003.~Varicella (no brand na
Other Medications:
Current Illness:
Preexisting Conditions: High blood pressure
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Got hep B three injections 10/16/99, 11/24/99, 5/2/00 total. My arm swelled and heat for 3 months after second shot. bowel changes and urination. Then I received the varicella shot. 9/8/00 and on 11/12/00. I started having bloody nose constent sleep leg cramps, fatigue, bowel movements changed was in throwing up and vertigo, dizzy, hot sweats, By 2/10/02 very ill. Ringing in ear constently. Double vision, vertigo, kidney failure, bowel movement changes. Everything spinning dizziness, severe headache, high blood pressure, couldn''t urinate. Then I got out of hospital struggling to walk and couldn''t go up steps, cold burnin in feet and leg severe point spasms when lying down like during electrically shocked. Discharge Summary received on 12/31/2003 states nausea.


VAERS ID: 211832 (history)  
Form: Version 1.0  
Age: 2.0  
Sex: Male  
Location: Oklahoma  
Vaccinated:2002-12-26
Onset:2002-12-26
   Days after vaccination:0
Submitted: 2003-10-21
   Days after onset:298
Entered: 2003-11-06
   Days after submission:16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0348M / 1 LL / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0473M / 1 RL / IM

Administered by: Private       Purchased by: Public
Symptoms: Autism, Febrile convulsion, Neurodevelopmental disorder, Otitis media
SMQs:, Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (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, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CMP, direct sugar, organic acid, urine test, chromosome testing, fragile X, MRI, CBC, liver profile
CDC Split Type:

Write-up: Febrile seizure with temp 101.9 rectal, subsequent seizures followed. Developmental delay followed within 2 mos of vaccine and diagnosis of chronic otitis media. Diagnosis of autism 10 months after vaccine. Signs/Symptoms of autistic behaviors. The patient is undergoing therapy 10 hours per week.


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