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This is VAERS ID 150892

Case Details

VAERS ID: 150892 (history)  
Form: Version 1.0  
Age: 1.4  
Sex: Male  
Location: California  
Vaccinated:1997-11-01
Onset:1998-08-01
   Days after vaccination:273
Submitted: 2000-04-04
   Days after onset:612
Entered: 2000-04-11
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / UNK MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Brain neoplasm, Laboratory test abnormal, Viral infection
SMQs:, Non-haematological tumours of unspecified malignancy (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-01-31
   Days after onset: 183
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Virus tissue specimen test positive 4/25/02: microscopic examination of brain tissue containing foci of round poorly differentiated tumor cells. Results: tumor tissue: very strong band visualized. Fooled section of the adjacent brain tissue were negative for SV40 sequences. Interpretation: DNA sequences specific for SV40, were present in the tumor cells but were absent in the adjacent non-malignant brain tissue. Autopsy results: medulloblastoma
CDC Split Type: HQ2032103APR2000

Write-up: Pt received vax in November 1997. In August 1998, pt allegedly was diagnosed with medulloblastoma. Allegedly the pt underwent two surgeries to remove the tumor and was administered chemotherapy. On 1/31/99, he died. Allegedly his brain tissue revealed the presence of Simian Virus-40. Additional info received on 2/24/03 from attorney for consumer contained one physician''s pathology analysisi of brain tissue. A legal complaint was received from an attorney alleging that a 25 month old male recieved Orimune in November 1997 that was "improperly manufactured and which contained contaminants including, but not limited to SV40 which caused the development of brain tumors that ultimately were a direct and proximate cause of his death." The child was diagnosed with medulloblastoma in August 1998. According to the legal complaint, the pt underwent two surgeries to remove the tumor and was administered chemotherapy. On 1/31/99, he died. On 4/25/02, a microscopic examination of brain tissue revealed DNA sequences specific for Simian Virus-40 (SV40) present in the tumor cells but they were absent in the adjacent non-malignant brain tissue.


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