The risks of NOT being vaccinated are infinitely larger
Can
immunizations cause a bad reaction in my child?
The most common reactions to vaccines are minor and include:
- redness and swelling where the shot was given
- fever
- soreness at the site where the shot was given
In very rare cases, immunizations can trigger more serious problems, such
as seizures or severe allergic reactions. If your child has a history of
allergies to food or medication, or has had a problem with a vaccine
previously, make sure to let the doctor know before any vaccines are given.
Every year, millions of kids are safely vaccinated and very few experience
significant side effects.
Meanwhile, research continually improves the safety of immunizations. The
American Academy of Pediatrics (AAP) now advises doctors to use a
diphtheria,
tetanus, and pertussis (Whooping Cough) vaccine that includes only
specific parts of the pertussis cell instead of
the entire killed cell. This vaccine, called DTaP,
has been associated with even fewer side effects. |
|
2017
Vaccines, Autism, and the Promotion of Irrelevant Research: A
Science-Pseudoscience Analysis
2017: Measles was eliminated in
the U.S. in 2000 but it keeps returning.
About 30 percent of measles patients get extra complications, including
diarrhea, pneumonia, brain inflammation, and permanent blindness. In
impoverished or malnourished populations
30% of the people died.
From 2000-2012, the measles
vaccine saved about
13.8 million lives. If we
continue the way we’re going, though, we might get a different perspective.
From 1989-1991, measles saw a huge comeback because people weren’t getting
vaccinated enough—and we may not be too far from that happening all over
again.
Only 22 states have enough coverage in school-aged kids. And only 9 states
have enough coverage in kids under age three. |
2014-2015, in Marin out of 3,334 pupils,
215 got Vaccination Exemption ( Personal Belief)
source page 12
that's 6.45% compared to State Average of 2.54% --
PRIVATE SCHOOL PARENTS are close to 3 times worse. |
In
2010, 27,550 cases of pertussis,(Whooping Cough)
were reported in the US — and many more cases go unreported.
10 babies died in California.
There are
some schools in Marin where only
50% have been vaccinated. |
The Rolling Stone
and Salon has acknowledged
Robert Kennedy's article was wrong.
In 2005, the CDC recommended that children under 12 years old receive a
total of eight vaccines that protected against a dozen different diseases.
Only three of those vaccines had ever used thimerosal
as a preservative, and all had been thimerosal-free
since 2001.
https://www.ScientificAmerican.com/article/how-robert-f-kennedy-jr-distorted-vaccine-science1/ |
The Polio vaccine DID NOT infect people
with cancer --factcheck |
Do immunizations or
thimerosal cause autism?
Numerous studies have found no link between vaccines
and
autism (a developmental
disorder that's characterized by mild to severe impairment of communication and
social interaction skills). Likewise, a groundbreaking 2004 report from
the Institute of Medicine (IOM) found that thimerosal (an
organic mercury compound that's been used as a
preservative in vaccines since the 1930s) does not cause
autism. Still, some parents have
opted not to have their children immunized, putting them
at great risk of contracting deadly diseases.
The MMR vaccine, especially, has come under fire
despite many scientific reports indicating that there's no clear
evidence linking the vaccine to autism.
In fact, in 2004 a long-disputed 1998 study that suggested a possible link
between autism and the MMR vaccine was
retracted. Even before the retraction, not only
had other studies found no link, but the controversial 1998
study was rejected by all major health
organizations, including the AAP, the National Institutes of Health (NIH), the
Centers for Disease Control and Prevention (CDC), and the World Health
Organization (WHO). ( And the doctor responsible had his
license revoked).
There's also no reason to believe that thimerosal
is linked to autism, according to the 2004 IOM
report. Nevertheless, in an effort to reduce childhood exposure to
mercury and other heavy
metals, thimerosal began being removed from
kids' vaccines in 1999. Now, vaccines for infants and young children
contain no or very little thimerosal. And recent
studies have not shown any cognitive and
behavioral problems in babies who might have received these
thimerosal-containing vaccines.
So what could explain the increased rates of autism in recent
years? For one thing, there's a broader definition of autism that can be applied
to more kids who show varying degrees of symptoms. A greater awareness of the
condition among health professionals also has led to more diagnoses.
And although the number of children diagnosed with autism may
be increasing, the rates of MMR vaccination are not. In London, diagnoses of
autistic disorders have been on the rise since 1979 but rates of MMR vaccination
haven't increased since routine MMR vaccination began in 1988.
In addition, the average age of diagnosis of autism has been
found to be the same both in children who have and who have not
received the MMR vaccine. What many researchers are discovering is that subtle
symptoms of autism are often present before a child's first birthday — sometimes
even in early infancy — but often go unnoticed until the symptoms are more
obvious to parents.
Wasn't there a
problem with the rotavirus vaccine?
Rotavirus is one of the most common causes of diarrhea in young children. In
1999, a rotavirus vaccine was taken off the market
because it was linked to an increased risk for
intussusception, a type of bowel obstruction,
in young infants.
However, two new, different rotavirus vaccines
called RotaTeq and Rotarix
are now available and neither has been found to have this increased risk. These
vaccines have been shown to prevent the majority of cases of
rotavirus infection
and almost all of the severe cases.
The vaccine is now on the regular immunization schedule to be
given orally to infants as a liquid during standard vaccination visits —
RotaTeq at ages 2 months, 4 months, and 6 months,
and Rotarix at ages 2 months and 4 months. Your
doctor will have the most current information.
Do immunizations cause SIDS, multiple sclerosis, or other problems?
There are concerns, many of which circulate on the Internet, linking some
vaccines to multiple sclerosis,
sudden infant death syndrome (SIDS), and other
problems. To date, several studies have failed
to show any connection between immunizations
and these conditions. The number of SIDS cases has
actually fallen by more than 50% in recent years, whereas the number of vaccines
administered yearly has continued to rise.
How long does immunity last after getting a vaccine?
A few vaccines, like the two for measles or the series for
hepatitis B, may make you immune for your entire life. Others, like tetanus,
last for many years but require periodic shots (boosters) for continued
protection against the disease.
The whooping cough (pertussis) vaccine also does not
give lifelong immunity, and that may be one reason why there are still outbreaks
of the disease. And although pertussis isn't a serious problem for older kids
and adults, it can be for infants and young children. Because of this,
adolescents and adults now receive a pertussis booster along with the tetanus
and diphtheria booster (Tdap) — an important step in controlling this infection.
It's important to keep a record of vaccinations so the doctor
knows when your child is due for a booster. Also make sure your kids get the
flu vaccine
each year, if it isn't in short supply. Having been immunized last year won't
protect someone from getting the flu this year because flu viruses constantly
change. That's why the vaccine is updated each year to include the most current
strains of the virus.
The flu vaccine reduces the average person's chances of
catching the flu by up to 80% during the season. But because the flu vaccine
doesn't prevent infection by all of the viruses that can cause flu-like
symptoms, getting the vaccine isn't a guarantee that someone won't get sick
during the season. But even if someone who's gotten the shot gets the flu,
symptoms will usually be fewer and milder.
http://kidshealth.org/parent/general/body/fact_myth_immunizations.html#
National Vaccine Injury
Compensation Program (VICP) Adjudication Categories by Vaccine for Claims Filed
Calendar Year 2006 to 20141
A lot of these suits (possibly the majority)
are related to administration of the vaccine (injuries to the arm etc...)
|
|
Compensable |
Compensable Total |
one in |
Vaccine Alleged by Petitioner2 |
No. of Doses Distributed US
CY 2006 - CY 2012 (Source: CDC)3 |
Concession |
Court Decision |
Settlement |
|
|
DT(diphtheria-tetanus) |
592,707 |
1 |
0 |
2 |
3 |
|
DTaP
(diphtheria-tetanus-acellular pertussis) |
68,113,573 |
13 |
15 |
60 |
88 |
774,017 |
DTaP-Hep B-IPV |
38,347,667 |
5 |
5 |
14 |
24 |
|
DTaP-HIB |
1,135,474 |
0 |
0 |
0 |
0 |
|
DTaP-IPV-HIB |
46,633,881 |
0 |
0 |
4 |
4 |
|
DTP(diphtheria-tetanus-whole cell pertussis) |
04 |
0 |
1 |
2 |
3 |
|
DTP-HIB |
0 |
0 |
0 |
0 |
0 |
|
Hep A-Hep
B |
10,405,325 |
0 |
0 |
8 |
8 |
|
Hep B-HIB |
4,621,999 |
0 |
1 |
1 |
2 |
|
Hepatitis
A (Hep A) |
110,596,300 |
1 |
5 |
16 |
22 |
|
Hepatitis
B (Hep B) |
116,853,062 |
3 |
8 |
30 |
41 |
|
HIB(Haemophilus
influenzae type b) |
70,755,674 |
0 |
1 |
3 |
4 |
|
HPV(human
papillomarvirus) |
55,168,454 |
9 |
1 |
54 |
64 |
|
Influenza5 |
809,000,000 |
24 |
56 |
513 |
593 |
|
IPV(Inactivated Polio) |
52,439,162 |
0 |
0 |
3 |
3 |
|
Measles |
135,660 |
0 |
0 |
1 |
1 |
|
Meningococcal |
51,173,032 |
1 |
1 |
17 |
19 |
|
MMR(measles-mumps-rubella) |
65,864,745 |
16 |
12 |
43 |
71 |
a million |
MMR-Varicella |
8,073,618 |
6 |
0 |
5 |
11 |
|
Nonqualified6 |
N/A |
0 |
0 |
0 |
0 |
|
OPV(Oral
Polio) |
0 |
1 |
0 |
0 |
1 |
|
Pneumococcal Conjugate |
123,606,306 |
0 |
1 |
4 |
5 |
|
Rotavirus |
61,336,583 |
0 |
2 |
13 |
15 |
4 million |
Rubella |
422,548 |
0 |
1 |
0 |
1 |
|
Td(tetanus-diphtheria) |
53,009,015 |
4 |
5 |
42 |
51 |
|
Tdap |
133,744,203 |
6 |
5 |
48 |
59 |
|
TETANUS |
3,836,052 |
2 |
0 |
11 |
13 |
|
Unspecified7 |
N/A |
1 |
0 |
2 |
3 |
|
Varicella |
82,534,257 |
4 |
5 |
13 |
22 |
|
Grand Total |
1,968,399,297 |
97 |
125 |
909 |
1131 |
|
DEFINITIONS:
- Compensable – The
injured person who filed a claim was paid money by the VICP.
Compensation can be achieved through a concession by the Department of Health
and Human Services (HHS), a decision on the merits of the claim by a special
master or a judge of the United States Court of Federal Claims (Court), or a
settlement between the parties.
- Concession:
HHS concludes that a petition should be compensated based on a thorough
review and analysis of the evidence, including medical records and the
scientific and medical literature. The HHS review concludes that the
petitioner is entitled to compensation, including a determination either
that it is more likely than not that the vaccine caused the injury or the
evidence supports fulfillment of the criteria of the Vaccine Injury Table.
The Court also determines that the petition should be compensated.
- Court Decision:
A special master or the court, within the United States Court of Federal
Claims, issues a legal decision after weighing the evidence presented by
both sides. HHS abides by the ultimate Court decision even if it
maintains its position that the petitioner was not entitled to compensation
(e.g., that the injury was not caused by the vaccine).
- For injury
claims, compensable court decisions are based in part on one of the
following determinations by the court:
- The evidence
is legally sufficient to show that the vaccine more likely than not
caused (or significantly aggravated) the injury; or
- The injury is
Iisted on, and meets all of the requirements of, the Vaccine Injury
Table, and HHS has not proven that a factor unrelated to the vaccine
more likely than not caused or significantly aggravated the injury.
An injury listed on the Table and meeting all Table requirements is
given the legal presumption of causation. It should be noted
that conditions are placed on the Table for both scientific and policy
reasons.
- Settlement:
The petition is resolved via a negotiated settlement between the parties.
This settlement is not an admission by the United States or the Secretary of
Health and Human Services that the vaccine caused the petitioner’s alleged
injuries, and, in settled cases, the Court does not determine that the
vaccine caused the injury. A settlement therefore cannot be
characterized as a decision by HHS or by the Court that the vaccine caused
an injury. Claims may be resolved by settlement for many reasons,
including consideration of prior court decisions; a recognition by both
parties that there is a risk of loss in proceeding to a decision by the
Court making the certainty of settlement more desirable; a desire by both
parties to minimize the time and expense associated with litigating a case
to conclusion; and a desire by both parties to resolve a case quickly and
efficiently.
-
Non-compensable/Dismissed – The injured person who filed a claim was
ultimately not paid money.
- Non-compensable
Court decisions include the following:
- The Court
determines that the person who filed the claim did not demonstrate that
the injury was caused (or significantly aggravated) by a covered vaccine
or meet the requirements of the Table (for injuries listed on the Table).
- The claim was
dismissed for not meeting other statutory requirements (such as not
meeting the filing deadline, not receiving a covered vaccine, and not
meeting the statute’s severity requirement).
- The injured
person voluntarily withdrew his or her claim.
1The date range for this
table was selected to reflect the status of the current Program since the
inclusion of influenza in July 2005, which now constitutes the majority of
all VICP claims.
2This is the first vaccine
listed by the petitioner in the claim, and other vaccines may be alleged or
may form the basis of compensation.
3Vaccine doses are
self-reported distribution data provided by US-licensed vaccine
manufacturers. The data provide an estimate of the annual national
distribution and do not represent vaccine administration. In order to
maintain confidentiality of an individual manufacturer or brand, the data
are presented in an aggregate format by vaccine type.
4Whole cell pertussis
vaccines were not distributed during this time period.
5Flu doses are derived from
CDC’s FluFinder tracking system, which includes data provided to CDC by
US-licensed influenza vaccine manufacturers as well as their first line
distributors.
6Claims filed for vaccines
which are not covered under the VICP.
7Insufficient information
submitted by petitioner to make an initial determination. The concession was
for multiple unidentified vaccines that caused abscess formation at the
vaccination site(s), and the settlements were for multiple vaccines later
identified in the Special Master’s Decisions.
Vaccine Injury Table
a
Vaccines |
Illness, Disability, Injury or Condition
Covered |
Time period for first symptom
or manifestation of onset or
of significant aggravation after vaccine administration |
I.
containing tetanus toxoid
(e.g., DTaP, DTP, DT, Td, TT) |
A. Anaphylaxis or anaphylactic shock
1 |
4 hours |
B. Brachial neuritis
6 |
2-28 days |
C. Any acute complication
or sequela (including death) of an illness, disability, injury, or condition
referred to above which illness, disability, injury, or condition arose
within the time period prescribed.
4 |
Not applicable |
II. containing whole cell
pertussis bacteria, extracted or partial cell
pertussis bacteria, or specific pertussis antigen(s)
(e.g., DTP, DTaP, P, DTP-Hib) |
A. Anaphylaxis or anaphylactic shock
1 |
4 hours |
B. Encephalopathy (or encephalitis)
2 |
72 hours |
C. Any acute complication or sequela
(including death) of an illness, disability, injury, or condition referred
to above which illness, disability, injury, or condition arose within the
time period prescribed.
4 |
Not applicable |
III. Measles, mumps and rubella
vaccine or any of its components (e.g., MMR,
MR, M, R) |
A. Anaphylaxis or anaphylactic shock
1 |
4 hours |
B. Encephalopathy (or encephalitis)
2 |
5-15 days (not less than 5
days and not more than 15 days) |
C. Any acute complication or
sequela (including death) of an illness, disability, injury, or condition
referred to above which illness, disability, injury, or condition arose
within the time period prescribed.
4 |
Not applicable |
IV. containing rubella virus (e.g., MMR, MR, R) |
A. Chronic arthritis
5 |
7-42 days |
B. Any acute complication or sequela
(including death) of an illness, disability, injury, or condition referred
to above which illness, disability, injury, or condition arose within the
time period prescribed.
4 |
Not applicable |
V. containing measles virus (e.g., MMR, MR, M) |
A. Thrombocytopenic purpura
7 |
7-30 days |
B. Vaccine-Strain Measles Viral Infection in an
immunodeficient recipient
8 |
6 months |
C. Any acute complication or
sequela (including death) of an illness, disability, injury, or condition
referred to above which illness, disability, injury, or condition arose
within the time period prescribed
4 |
Not applicable |
VII.
containing polio inactivated (e.g., IPV) |
A Anaphylaxis or anaphylactic shock
1 |
4 hours |
B. Any acute complication or
sequela (including death) of an illness, disability, injury, or condition
referred to above which illness, disability, injury, or condition arose
within the time period prescribed.
4 |
Not applicable |
VIII. Hepatitis B vaccines |
A. Anaphylaxis or anaphylactic shock
1 |
4 hours |
B. Any acute complication or
sequela (including death) of an illness, disability, injury, or condition
referred to above which illness, disability, injury, or condition arose
within the time period prescribed.
4 |
Not applicable |
IX. Hemophilus influenzae (type b polysaccharide conjugate vaccines) |
A. No condition specified
|
Not applicable |
X. Varicella vaccine |
A. No condition specified
|
Not applicable |
XI. Rotavirus vaccine |
A. No condition
specified |
Not applicable |
XII. Pneumococcal conjugate vaccines |
A. No condition specified |
Not applicable |
XIII. Hepatitis A
vaccines |
A. No condition specified |
Not applicable |
XIV. Trivalent influenza vaccines |
A. No condition specified |
Not applicable |
XV. Meningococcal vaccines |
A.
No condition specified |
Not
applicable |
XVI. Human
papillomavirus (HPV) vaccines |
A. No condition specified |
Not applicable |
XVII. Any new vaccine recommended by the
Centers for Disease Control and Prevention for routine administration to
children, after publication by Secretary, HHS of a notice of coverage
b,c,d |
A. No condition specified |
Not applicable |
a Effective date: July 22,
2011 (see
Revisions to the Vaccine Injury Table) or
http://www.hrsa.gov/vaccinecompensation/vaccinetable.html
Qualifications and
Aids to Interpretation
(1) Anaphylaxis and
anaphylactic shock mean an acute, severe, and potentially lethal systemic
allergic reaction. Most cases resolve without sequelae. Signs and symptoms begin
minutes to a few hours after exposure. Death, if it occurs, usually results from
airway obstruction caused by laryngeal edema or bronchospasm and may be
associated with cardiovascular collapse. Other significant clinical signs and
symptoms may include the following: Cyanosis, hypotension, bradycardia,
tachycardia, arrhythmia, edema of the pharynx and/or trachea and/or larynx with
stridor and dyspnea. Autopsy findings may include acute emphysema which results
from lower respiratory tract obstruction, edema of the hypopharynx, epiglottis,
larynx, or trachea and minimal findings of eosinophilia in the liver, spleen and
lungs. When death occurs within minutes of exposure and without signs
ofrespiratory distress, there may not be significant pathologic findings.
(2) Encephalopathy.
For purposes of the Vaccine Injury Table, a vaccine recipient shall be
considered to have suffered an encephalopathy only if such recipient manifests,
within the applicable period, an injury meeting the description below of an
acute encephalopathy, and then a chronic encephalopathy persists in such person
for more than 6 months beyond the date of vaccination.
(i) An acute
encephalopathy is one that is sufficiently severe so as to require
hospitalization (whether or not hospitalization occurred).
(A) For
children less than 18 months of age who present without an associated
seizure event, an acute encephalopathy is indicated by a “significantly
decreased level of consciousness” (see “D” below) lasting for at least 24
hours. Those children less than 18 months of age who present following a
seizure shall be viewed as having an acute encephalopathy if their
significantly decreased level of consciousness persists beyond 24 hours and
cannot be attributed to a postictal state (seizure) or medication.
(B) For adults
and children 18 months of age or older, an acute encephalopathy is one
that persists for at least 24 hours and characterized by at least two of the
following:
(1) A significant change in
mental status that is not medication related; specifically a confusional
state, or a delirium, or a psychosis;
(2) A significantly decreased level of consciousness, which is
independent of a seizure and cannot be attributed to the effects of
medication; and
(3) A seizure associated with loss of consciousness.
(C) Increased
intracranial pressure may be a clinical feature of acute encephalopathy in
any age group.
(D) A "significantly decreased level
of consciousness" is indicated by the presence of at least one of the
following clinical signs for at least 24 hours or greater (see
paragraphs (2)(I)(A) and (2)(I)(B) of this section for applicable
timeframes):
(1)Decreased or absent
response to environment (responds, if at all, only to loud voice or
painful stimuli);
(2) Decreased or absent eye contact (does not fix gaze upon family
members or other individuals); or
(3) Inconsistent or absent responses to external stimuli (does not
recognize familiar people or things).
(E) The following
clinical features alone, or in combination, do not demonstrate an acute
encephalopathy or a significant change in either mental status or level of
consciousness as described above: Sleepiness, irritability (fussiness),
high-pitched and unusual screaming, persistent inconsolable crying, and
bulging fontanelle. Seizures in themselves are not sufficient to constitute
a diagnosis of encephalopathy. In the absence of other evidence of an acute
encephalopathy, seizures shall not be viewed as the first symptom or
manifestation of the onset of an acute encephalopathy.
(ii) Chronic
encephalopathy occurs when a change in mental or neurologic status, first
manifested during the applicable time period, persists for a period of at
least 6 months from the date of vaccination. Individuals who return to a
normal neurologic state after the acute encephalopathy shall not be presumed
to have suffered residual neurologic damage from that event; any subsequent
chronic encephalopathy shall not be presumed to be a sequela of the acute
encephalopathy. If a preponderance of the evidence indicates that a child's
chronic encephalopathy is secondary to genetic, prenatal or perinatal factors,
that chronic encephalopathy shall not be considered to be a condition set
forth in the Table.
(iii) An encephalopathy shall not be considered to be a condition set forth in
the Table if in a proceeding on a petition, it is shown by a preponderance of
the evidence that the encephalopathy was caused by an infection, a toxin, a
metabolic disturbance, a structural lesion, a genetic disorder or trauma
(without regard to whether the cause of the infection, toxin, trauma,
metabolic disturbance, structural lesion or genetic disorder is known). If at
the time a decision is made on a petition filed under section 2111(b) of the
Act for a vaccine-related injury or death, it is not possible to determine the
cause by a preponderance of the evidence of an encephalopathy, the
encephalopathy shall be considered to be a condition set forth in the Table.
(iv) In determining whether or not an encephalopathy is a condition set forth
in the Table, the Court shall consider the entire medical record.
(3) Seizure and
convulsion. For purposes of paragraphs (b)(2) of this section, the terms,
"seizure" and "convulsion" include myoclonic, generalized tonic-clonic (grand
mal), and simple and complex partial seizures. Absence (petit mal) seizures
shall not be considered to be a condition set forth in the Table. Jerking
movements or staring episodes alone are not necessarily an indication of seizure
activity.
(4) Sequela. The term "sequela"
means a condition or event which was actually caused by a condition listed in
the Vaccine Injury Table.
(5) Chronic
Arthritis. For purposes of the Vaccine Injury Table, chronic arthritis may
be found in a person with no history in the 3 years prior to vaccination of
arthropathy (joint disease) on the basis of:
(A) Medical
documentation, recorded within 30 days after the onset, of objective signs of
acute arthritis (joint swelling) that occurred between 7 and 42 days after a
rubella vaccination;
(B) Medical documentation (recorded within 3 years after the onset of acute
arthritis) of the persistence of objective signs of intermittent or continuous
arthritis for more than 6 months following vaccination:
(C) Medical documentation of an antibody response to the rubella virus.
For purposes of the Vaccine Injury
Table, the following shall not be considered as chronic arthritis:
Musculoskeletal disorders such as diffuse connective tissue diseases (including
but not limited to rheumatoid arthritis, juvenile rheumatoid arthritis, systemic
lupus erythematosus, systemic sclerosis, mixed connective tissue disease,
polymyositis/dermatomyositis, fibromyalgia, necrotizing vasculitis and
vasculopathies and Sjogren's Syndrome), degenerative joint disease, infectious
agents other than rubella (whether by direct invasion or as an immune reaction),
metabolic and endocrine diseases, trauma, neoplasms, neuropathic disorders, bone
and cartilage disorders and arthritis associated with ankylosing spondylitis,
psoriasis, inflammatory bowel disease, Reiter's syndrome, or blood disorders.
Arthralgia (joint pain) or stiffness without joint
swelling shall not be viewed as chronic arthritis for purposes of the Vaccine
Injury Table.
(6) Brachial
neuritis is defined as dysfunction limited to the upper extremity nerve
plexus (i.e., its trunks, divisions, or cords) without involvement of other
peripheral (e.g., nerve roots or a single peripheral nerve) or central (e.g.,
spinal cord) nervous system structures. A deep, steady, often severe aching pain
in the shoulder and upper arm usually heralds onset of the condition. The pain
is followed in days or weeks by weakness and atrophy in upper extremity muscle
groups. Sensory loss may accompany the motor deficits, but is generally a less
notable clinical feature. The neuritis, or plexopathy, may be present on the
same side as or the opposite side of the injection; it is sometimes bilateral,
affecting both upper extremities. Weakness is required before the diagnosis can
be made. Motor, sensory, and reflex findings on physical examination and the
results of nerve conduction and electromyographic studies must be consistent in
confirming that dysfunction is attributable to the brachial plexus. The
condition should thereby be distinguishable from conditions that may give rise
to dysfunction of nerve roots (i.e., radiculopathies) and peripheral nerves
(i.e., including multiple mononeuropathies), as well as other peripheral and
central nervous system structures (e.g., cranial neuropathies and myelopathies).
(7)
Thrombocytopenic purpura is defined by a serum platelet count less than
50,000/mm3. Thrombocytopenic purpura does not include cases of
thrombocytopenia associated with other causes such as hypersplenism, autoimmune
disorders (including alloantibodies from previous transfusions) myelodysplasias,
lymphoproliferative disorders, congenital thrombocytopenia or hemolytic uremic
syndrome. This does not include cases of immune (formerly called idiopathic)
thrombocytopenic purpura (ITP) that are mediated, for example, by viral or
fungal infections, toxins or drugs. Thrombocytopenic purpura does not include
cases of thrombocytopenia associated with disseminated intravascular
coagulation, as observed with bacterial and viral infections. Viral infections
include, for example, those infections secondary to Epstein Barr virus,
cytomegalovirus, hepatitis A and B, rhinovirus, human immunodeficiency virus
(HIV), adenovirus, and dengue virus. An antecedent viral infection may be
demonstrated by clinical signs and symptoms and need not be confirmed by culture
or serologic testing. Bone marrow examination, if performed, must reveal a
normal or an increased number of megakaryocytes in an otherwise normal marrow.
(8) Vaccine-strain
measles viral infection is defined as a disease caused by the vaccine-strain
that should be determined by vaccine‑specific monoclonal antibody or polymerase
chain reaction tests.
(9) Vaccine-strain
polio viral infection is defined as a disease caused by poliovirus that is
isolated from the affected tissue and should be determined to be the
vaccine-strain by oligonucleotide or polymerase chain reaction. Isolation of
poliovirus from the stool is not sufficient to establish a tissue specific
infection or disease caused by vaccine-strain poliovirus.
This information
reflects the current thinking of the United States Department of Health and
Human Services on the topics addressed. This information is not legal advice and
does not create or confer any rights for or on any person and does not operate
to bind the Department or the public. The ultimate decision about the scope of
the statutes authorizing the VICP is within the authority of the United States
Court of Federal Claims, which is responsible for resolving claims for
compensation under the VICP.
|