V F 4 Years N Recovered DT FEVER INJECTION SITE REACTION

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1 * CAVEAT: The vast majority of reports on which this summary is based are submitted by health practitioners. Each report represents the suspicion, opinion or observation of the individual reporter. Cause and effect relationships have not been established in the vast majority of reports submitted. The information contained in these reports to Population and Public Health Branch has not been reviewd as to cause and effect relationship by Population and Public Health Branch scientists. Only a small portion of suspected adverse reactions are reported to the program, consequently this information must not be used to estimate the incidence of adverse events. Reports submitted by pharmaceutical manufacturers are included in this summary. This summary contains unpublished data and is provide to you with the understanding that this data will be used only for your personal use or within your immediate organization. Vaccine: DTP (n=49); DT 274-1A (n=0); IPV (n=8); HIB K0442 (n=9); DT (n=12); HIB V0204 (n=0); (N=0); HIB K0827 (N=29); DT (n=3) IPV (n=6); IPV (n=0); MMR C (n=25) Date Id Received Sex Age Age Unit Hosp Outcome Vaccine Lot # Reaction V F 4 Years N Recovered DT FEVER INJECTION SITE REACTION V F 5 Years N Recovered DT FEVER IPV SEVERE PAIN AND/OR SWELLING V M 5 Years N Recovered DT FEVER V F 5 Years Recovered DT FEVER - TEMPERATURE NOT RECORDED IPV SEVERE PAIN AND/OR SWELLING ALLERGIC REACTION V M 2 Years N DT SEVERE PAIN AND/OR SWELLING IPV V F 6 Years N Recovered DT INJECTION SITE REACTION V F 2 Years N Recovered DT FEVER HIBAC K0399 IPV V F 5 Years N Recovered DT FEVER STERILE ABCESS/NODULE/NECROSIS V F 5 Years N Recovered DT ARTHRALGIA/ARTHRITIS V M 1 Years N Recovered IPV SEVERE PAIN AND/OR SWELLING - 4 DAYS OR MORE DT V F 3 Years N Recovered DT SEVERE PAIN AND/OR SWELLING - 4 DAYS OR MORE ALLERGIC REACTION - SKIN

2 V F 4 Years Recovered DT SEVERE PAIN AND/OR SWELLING - 4 DAYS OR MORE APATHY DIARRHOEA PALLOR INJECTION SITE BRUISING V F 2 Years N Recovered DT FEVER V F 4 Years Recovered with Sequalae DT SEVERE PAIN AND/OR SWELLING - 4 DAYS OR MORE V M 4 Years Recovered DT SEVERE PAIN AND/OR SWELLING - 4 DAYS OR MORE V M 2 Months N Recovered HIBTI 3A0896 SCREAMING EPISODE/PERSISTENT CRYING V M 4 Months Y Recovered HIBTI 2M0279 HYPOTONIC-HYPORESPONSIVE EPISODE SOMNOLENCE DYSPNOEA V M 4 Years N Recovered FEVER - TEMPERATURE NOT RECORDED HYPOTONIC-HYPORESPONSIVE EPISODE V F 3 Months N Recovered HIBTI 3E0465 FEVER V M 4 Years N FEVER - TEMPERATURE NOT RECORDED HALLUCINATION V F 2 Months N Recovered HYPOTONIC-HYPORESPONSIVE EPISODE V F 2 Months N Recovered SCREAMING EPISODE/PERSISTENT CRYING V M 3 Months N HIBTI 2M0278 FEVER V M 6 Years N ALLERGIC REACTION V M 7 Months N HIBTI 3E0466 ALLERGIC REACTION RASHES V M 18 Months N Recovered HIBTI - HYPOTONIC-HYPORESPONSIVE EPISODE

3 V M 18 Months N Recovered V M 1 Years N Recovered HIBTI 3E0468 FEVER FEVER - TEMPERATURE NOT RECORDED SEVERE PAIN AND/OR SWELLING V F 2 Years N Recovered FEVER SEVERE PAIN AND/OR SWELLING ADENOPATHY V M 5 Months N FEVER >= 40.5 RASHES SCREAMING EPISODE/PERSISTENT CRYING V M 5 Years N FEVER V F 3 Months N Recovered HIBTI 3A0896 FEVER V M 2 Months N HIBTI 3F0617 FEVER - TEMPERATURE NOT RECORDED V F 1 Years N HIBTI 2M0834 FEVER >= 40.5 V M 1 Years N HIBTI 2M0834 STERILE ABCESS/NODULE/NECROSIS V F 5 Months N HIBTI 3J0158 FEVER V M 1 Months N HIBTI - SEVERE PAIN AND/OR SWELLING V M 6 Months N HIBTI 3F0385 SCREAMING EPISODE/PERSISTENT CRYING V M 5 Years N SEVERE PAIN AND/OR SWELLING V M 5 Years N SEVERE PAIN AND/OR SWELLING V Years N Recovered STERILE ABCESS/NODULE/NECROSIS

4 V M 1 Years N Recovered FEVER - TEMPERATURE NOT RECORDED SCREAMING EPISODE/PERSISTENT CRYING V M 5 Months N Recovered FEVER SCREAMING EPISODE/PERSISTENT CRYING V M 1 Years N Recovered HIBTI 3F0385 CONVULSION/SEIZURE V M 2 Months N HIBTI 3E0466 FEVER >= 40.5 SCREAMING EPISODE/PERSISTENT CRYING V F 6 Months N Recovered FEVER HIBAC - HYPOTONIC-HYPORESPONSIVE EPISODE CONVULSION/SEIZURE V M 3 Months N HIBTI 3F0385 RASHES V F 4 Years N SEVERE PAIN AND/OR SWELLING V F 4 Months N Recovered HIBTI 3E0465 FEVER - TEMPERATURE NOT RECORDED SCREAMING EPISODE/PERSISTENT CRYING OPISTHOTONOS INSOMNIA V M 4 Months N HIBTI 2M0834 V M 1 Years N FEVER - TEMPERATURE NOT RECORDED HYPOTONIC-HYPORESPONSIVE EPISODE V M 2 Months N HIBTI 3C0629 FEVER - TEMPERATURE NOT RECORDED SEVERE PAIN AND/OR SWELLING SCREAMING EPISODE/PERSISTENT CRYING V F 1 Months N HIBTI 3E0466 FEVER >= 40.5 SEVERE PAIN AND/OR SWELLING SCREAMING EPISODE/PERSISTENT CRYING V M 2 Months N Recovered HIBTI 3F0617 HYPOTONIC-HYPORESPONSIVE EPISODE

5 V F 2 Months N Recovered HIBTI 3F0777 FEVER >= 40.5 V F 5 Years N ARTHRALGIA/ARTHRITIS V M 2 Months N SEVERE PAIN AND/OR SWELLING SCREAMING EPISODE/PERSISTENT CRYING V F 4 Months N HIBTI 3A0896 V M 2 Months N Recovered HIBTI 3E0468 FEVER SCREAMING EPISODE/PERSISTENT CRYING V F 2 Months N Recovered HYPOTONIC-HYPORESPONSIVE EPISODE HIBAC - V M 3 Months N HIBTI 3C0629 HYPOTONIC-HYPORESPONSIVE EPISODE V M 8 Months Y Fatal HIBTI 3K0639 FEVER >= 40.5 BRADYCARDIA V F 2 Months N Recovered HIBAC L1008 SEVERE PAIN AND/OR SWELLING V M 2 Months N Recovered HIBAC K0442 INJECTION SITE REACTION DPTP V M 5 Years Recovered SEVERE PAIN AND/OR SWELLING V M 4 Months N Recovered DPTP INJECTION SITE REACTION HIBAC K0442 V M 7 Months N Recovered HIBAC K0442 ALLERGIC REACTION - SKIN DPTP V F 1 Years N Recovered HIBAC K0442 FEVER >= 40.5 P IPV V F 5 Months Y Recovered DPTP FEVER - TEMPERATURE NOT RECORDED HIBAC K0442 SEVERE PAIN AND/OR SWELLING

6 INJECTION SITE ABSCESS SEPSIS V M 1 Years N Recovered MMR - FEVER >= 40.5 DPTP HIBAC K0442 V M 4 Months N DPTP FEVER - TEMPERATURE NOT RECORDED HIBAC K0442 SEVERE PAIN AND/OR SWELLING RASHES SCREAMING EPISODE/PERSISTENT CRYING V M 6 Months N Recovered HIBAC K0442 INJECTION SITE REACTION DPTP V F 1 Years N Recovered HIBAC K0442 FEVER DPTP HYPOTONIC-HYPORESPONSIVE EPISODE V F 2 Years N Recovered DT FEVER HIBAC K0399 IPV V F 5 Years N Recovered MR OEDEMA IPV DT V M 4 Years N Recovered DT OEDEMA IPV V M 4 Years N Recovered IPV FEVER SKELETAL PAIN HEADACHE TREMOR ABDOMINAL PAIN V M 11 Months N Recovered IPV HIBAC K0827 SOMNOLENCE V M 3 Months Recovered DT FEVER >= 40.5 IPV

7 V M 49 Years Recovering HA 163A4 SEVERE PAIN AND/OR SWELLING - 4 DAYS OR MORE & PAS IPV ADENOPATHY - ENLARGED LYMPHNODES BACK PAIN MALAISE INJECTION SITE REACTION V F 22 Years N Recovered IG C7R01A MYALGIA IPV FATIGUE MALAISE V F 5 Years N Recovered IPV SEVERE PAIN AND/OR SWELLING - 4 DAYS OR MORE T V M N Recovered HIBAC K0827 FEVER IPV INJECTION SITE REACTION P V F 22 Years N Recovering TYPH-O A FEVER - TEMPERATURE NOT RECORDED IPV SEVERE PAIN AND/OR SWELLING - PAST JOINTS RAB SKELETAL PAIN MOUTH DRY ABDOMINAL PAIN RIGORS V F 19 Years N Recovered IPV ALLERGIC REACTION - SKIN PPD-T V F 15 Years N Recovered IPV SEVERE PAIN AND/OR SWELLING V M 5 Years Recovered P INJECTION SITE INFLAMMATION IPV MMR W1173 V F 4 Years SEVERE PAIN AND/OR SWELLING - 4 DAYS OR MORE & PAS DPTP SKELETAL PAIN HYPOKINESIA V M 25 Years Recovered Td 2DT19011 SEVERE PAIN AND/OR SWELLING ADENOPATHY INJECTION SITE REACTION V M 5 Years FEVER >= 40.5

8 V M 6 Years N Recovered DPTP INSOMNIA DYSPNOEA PALLOR MALAISE SEVERE PAIN AND/OR SWELLING SKELETAL PAIN DIZZINESS HEADACHE VOMITING INJECTION SITE PAIN V F 4 Years N INJECTION SITE INFLAMMATION DPTP V F 4 Years N Recovered DPTP FEVER >= 40.5 V F 4 Years N Recovered ALLERGIC REACTION - SKIN DPTP V F 1 Years Recovered FEVER >= 40.5 RASHES APATHY PHARYNGITIS V F 5 Years Recovered FEVER CONVULSION/SEIZURE - FEBRILE V M 4 Years Y Recovering FEVER - TEMPERATURE NOT RECORDED DPTP RASHES MENINGITIS AND/OR ENCEPHALITIS SOMNOLENCE V Years Recovered ALLERGIC REACTION - RESPIRATORY & SKIN DPTP - V M 1 Years N ALLERGIC REACTION V F 5 Years Recovered FEVER >= 40.5 DPTP SEVERE PAIN AND/OR SWELLING - 4 DAYS OR MORE MALAISE

9 V F 4 Years FEVER - TEMPERATURE NOT RECORDED DPTP SCREAMING EPISODE/PERSISTENT CRYING NAUSEA PALLOR INJECTION SITE PAIN V F 21 Years N Recovered INJECTION SITE REACTION V M 13 Years N Recovered SEVERE PAIN AND/OR SWELLING - 4 DAYS OR MORE OEDEMA V M 4 Years N Recovered FEVER DPTP INJECTION SITE REACTION V F 5 Years DPTP FEVER - TEMPERATURE NOT RECORDED SEVERE PAIN AND/OR SWELLING - 4 DAYS OR MORE V F 1 Years Y Recovered FEVER ALLERGIC REACTION - SKIN URTICARIA SOMNOLENCE CYANOSIS TACHYCARDIA DYSPNOEA V F 35 Years N ARTHRALGIA/ARTHRITIS V M 1 Years N FEVER V F 1 Years N RASHES V F 1 Years Recovering FEVER >= 40.5 RASHES - GENERALIZED CONVULSION/SEIZURE - FEBRILE CRYING ABNORMAL V F 4 Years Y Recovering DPTP PTOSIS V F 5 Years N DPTP SEVERE PAIN AND/OR SWELLING V F 1 Years N RASHES - GENERALIZED

10 CONJUNCTIVITIS V M 4 Years N Recovered DPTP ALLERGIC REACTION - SKIN V M 5 Years Recovered ALLERGIC REACTION - RESPIRATORY & SKIN DPTP V F 4 Years Y Recovered DPTP ANAPHYLAXIS V F 5 Years N DPTP STERILE ABCESS/NODULE/NECROSIS V F 1 Years N ALLERGIC REACTION V M 1 Years N ALLERGIC REACTION V M 1 Years N DPTP ALLERGIC REACTION HIBAC L0558 V F 4 Years N DPTP HEADACHE INJECTION SITE INFLAMMATION V F 1 Years N CONVULSION/SEIZURE V M 1 Years N DPTP SEVERE PAIN AND/OR SWELLING HIBAC L0596 V N Recovered FEVER ADENOPATHY RASHES - GENERALIZED PAROTITIS PRURITUS SOMNOLENCE V F 1 Years N Recovered FEVER - TEMPERATURE NOT RECORDED

11 V F 4 Years N Recovered DPTP FEVER - TEMPERATURE NOT RECORDED SOMNOLENCE V M 1 Years N FEVER SCREAMING EPISODE/PERSISTENT CRYING V M 1 Years N FEVER CONVULSION/SEIZURE V M 1 Years FEVER - TEMPERATURE NOT RECORDED CONVULSION/SEIZURE - AFEBRILE V F 5 Years Recovered DPTP SEVERE PAIN AND/OR SWELLING - 4 DAYS OR MORE RASHES - LOCALIZED OEDEMA V M 4 Years N Recovered DPTP SEVERE PAIN AND/OR SWELLING - 4 DAYS OR MORE V M 4 Years N DPTP FEVER - TEMPERATURE NOT RECORDED STERILE ABCESS/NODULE/NECROSIS V F 5 Years N Recovered DPTP FEVER - TEMPERATURE NOT RECORDED DIZZINESS DIARRHOEA PALLOR MALAISE V M 5 Years N Recovered RASH DPTP INJECTION SITE REACTION V M 5 Years N Recovered IPV FEVER DT SEVERE PAIN AND/OR SWELLING - PAST JOINTS OEDEMA V F 1 Years N FEVER RASHES V M 1 Years N RASHES V F 1 Years N DPTP FEVER HIBAC L0597 RASHES

12 V F 1 Years Y Recovered FEVER RASHES CONVULSION/SEIZURE - FEBRILE V M 5 Years N Recovered FEVER - TEMPERATURE NOT RECORDED SEVERE PAIN AND/OR SWELLING - PAST JOINTS SOMNOLENCE V F 1 Years N Recovered DPTP FEVER - TEMPERATURE NOT RECORDED HIBAC L1008 RASH V M 2 Years N Recovered HIBAC L1008 FEVER - TEMPERATURE NOT RECORDED DPTP V F 1 Years N ARTHRALGIA/ARTHRITIS V F 4 Years Recovered DPTP FEVER >= 40.5 SEVERE PAIN AND/OR SWELLING - 4 DAYS OR MORE HEADACHE NAUSEA V F 4 Years N Recovered DPTP FEVER >= 40.5 SEVERE PAIN AND/OR SWELLING - 4 DAYS OR MORE V F 1 Years FEVER >= 40.5 INJECTION SITE REACTION V F 4 Years Recovered DPTP FEVER >= 40.5 SEVERE PAIN AND/OR SWELLING - PAST JOINTS RASHES - LOCALIZED ARTHRALGIA/ARTHRITIS PAROTITIS MYALGIA HEADACHE ANOREXIA ABDOMINAL PAIN COUGHING V M 5 Years Recovered DPTP FEVER INJECTION SITE INFLAMMATION

13 V F 4 Years N Recovered SEVERE PAIN AND/OR SWELLING - 4 DAYS OR MORE DPTP V F 6 Years N Recovered FEVER SEVERE PAIN AND/OR SWELLING V F 5 Years N Recovered DPTP FEVER - TEMPERATURE NOT RECORDED HIBAC - SEVERE PAIN AND/OR SWELLING - 4 DAYS OR MORE VOMITING NAUSEA V F 4 Years N DPTP ALLERGIC REACTION - SKIN V F 4 Years Recovered DTP FEVER - TEMPERATURE NOT RECORDED ALLERGIC REACTION - SKIN ARTHRALGIA/ARTHRITIS V M 5 Years N Recovered DPTP ALLERGIC REACTION - RESPIRATORY & SKIN V M 13 Months Recovered MMR C RASHES - LOCALIZED V F 1 Years Y Recovered MMR C FEVER JAUNDICE V F 2 Years Y Recovered MMR C CONVULSION/SEIZURE - AFEBRILE DaPTP - HIBAC P0101 V M 1 Years N Recovered with Sequalae MMR C SEVERE PAIN AND/OR SWELLING - 4 DAYS OR MORE DaPTP - HIBAC N0581 V M 1 Years N Recovered MMR C RASH V F 13 Months Y Recovered MMR C FEVER V M 18 Months Recovered MMR C RASHES - GENERALIZED DaPTP -

14 HIBAC P0065 V F 37 Years Recovered MMR C CELLULITIS DaPTP V M 1 Years Recovered DaPTP - RASH HIBAC P0196 INSOMNIA MMR C INJECTION SITE REACTION V F 1 Years Recovered MMR C SEVERE PAIN AND/OR SWELLING - 4 DAYS OR MORE DaPTP - HAEMATOMA HIBAC P0196 V M 1 Years Recovered with Sequalae DaPTP - SEVERE PAIN AND/OR SWELLING - 4 DAYS OR MORE & PAS HIBAC P0464 INJECTION SITE BRUISING MMR C V M 5 Years Recovered MMR C FEVER DaPTP SEVERE PAIN AND/OR SWELLING - 4 DAYS OR MORE & PAS DIZZINESS APATHY FATIGUE V M 1 Days Recovered DaPTP C STERILE ABCESS/NODULE/NECROSIS HIBAC P0366 PAROTITIS MMR C FEVER V M 2 Years Recovered MMR C11320 FEVER - TEMPERATURE NOT RECORDED MUSCLE CONTRACTIONS INVOLUNTARY SOMNOLENCE ANOREXIA V M 1 Years Recovered DaPTP - FEVER HIBAC P0588 RASHES MMR C SOMNOLENCE ANOREXIA FATIGUE V M 31 Years Unknown TdP FEVER MMR C INJECTION SITE INFLAMMATION

15 FLU-S 3FV58F11 V F 28 Years Recovered YF 6906-B SEVERE PAIN AND/OR SWELLING - 4 DAYS OR MORE MMR C ARTHRALGIA/ARTHRITIS PRURITUS V M 4 Years Unknown DaPTP FEVER >= 40.5 MMR C ARTHRALGIA/ARTHRITIS PAROTITIS SOMNOLENCE V F 40 Years Recovered MMR C RASH YF 7044-A V F 4 Years Unknown MMR C ALLERGIC REACTION - SKIN DaPTP V F 1 Years Y Unknown DaPTP - THROMBOCYTOPENIA HIBAC P0467 MMR C V M 1 Years Recovered MMR C RASHES COUGHING FEVER V F 1 Years Recovered MMR C FEVER ANOREXIA V F 1 Years Recovered MMR C FEVER - TEMPERATURE NOT RECORDED V M 18 Months Recovered MMR C RASH V M 18 Months Recovered MMR C SEVERE PAIN AND/OR SWELLING - PAST JOINTS DaPTP - HIBAC P1329 V F 2 Years Y Recovered MMR C CONVULSION/SEIZURE - AFEBRILE DaPTP - HIBAC P0101 V F 14 Months Y Recovered MMR C FEVER RASH

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