Adverse Effects of Vaccines Evidence and Causality (2012) / Chapter Skim
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Appendix D: Causality Conclusion Tables
Appendix D: Causality Conclusion Tables
Pages 673-748
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From page 673... ...
Appendix D Causality Conclusion Tables 673
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From page 674... ...
Lacking Favors Rejection 4 MMR Acute Disseminated Insufficient Weak Inadequate Encephalomyelitis 4 MMR Transverse Myelitis Insufficient Weak Inadequate
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From page 675... ...
4 MMR Multiple Sclerosis Onset in Adults Limited Lacking Inadequate 4 MMR Multiple Sclerosis Onset in Children Limited Lacking Inadequate 4 MMR Guillain-Barré syndrome Insufficient Weak Inadequate 4 MMR Chronic Inflammatory Disseminated Insufficient Lacking Inadequate Polyneuropathy 4 MMR Opsoclonus Myoclonus Syndrome Insufficient Lacking Inadequate 4 MMR Brachial Neuritis Insufficient Lacking Inadequate 4 MMR Anaphylaxis Insufficient Strong Convincingly Supports 4 MMR Transient Arthralgia in Women Moderate (increase) Intermediate Favors Acceptancec (rubella)
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From page 676... ...
4 MMR Type 1 Diabetes High (null) Lacking Favors Rejection 4 MMR Hepatitis Insufficient Weak Inadequate 4 MMR Chronic Fatigue Syndrome Insufficient Lacking Inadequate 4 MMR Fibromyalgia Insufficient Lacking Inadequate
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From page 677... ...
5 Varicella Vaccine Strain Viral Reactivation Insufficient Strong Convincingly Supports without Other Organ Involvement 5 Varicella Vaccine Strain Viral Reactivation Limited Strong Convincingly Supports with Subsequent Infection resulting in (subsequent infection Meningitis or Encephalitis resulting in encephalitis) Insufficient (subsequent infection resulting in meningitis)
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From page 678... ...
Weak Inadequate 6 Influenza Chronic Inflammatory Disseminated Insufficient Weak Inadequate Polyneuropathy
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From page 679... ...
Weak Inadequate or Asthma Exacerbation or Reactive Airway Disease Episodes in Persons 5 Years of Age or Older 6 Influenza Onset or Exacerbation of Systemic Limited Lacking Inadequate Lupus Erythematosus (exacerbation) Insufficient (onset)
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From page 680... ...
d Intermediated Favors Acceptanced 7 Hepatitis A Acute Disseminated Insufficient Weak Inadequate Encephalomyelitis 7 Hepatitis A Transverse Myelitis Insufficient Weak Inadequate 7 Hepatitis A Multiple Sclerosis Insufficient Lacking Inadequate
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From page 681... ...
7 Hepatitis A Guillain-Barré syndrome Insufficient Weak Inadequate 7 Hepatitis A Chronic Inflammatory Disseminated Insufficient Lacking Inadequate Polyneuropathy 7 Hepatitis A Bell's Palsy Insufficient Lacking Inadequate 7 Hepatitis A Anaphylaxis Insufficient Weak Inadequate 7 Hepatitis A Autoimmune Hepatitis Insufficient Weak Inadequate 8 Hepatitis B Encephalitis Insufficient Lacking Inadequate 8 Hepatitis B Encephalopathy Insufficient Lacking Inadequate 8 Hepatitis B Seizures Limited Lacking Inadequate 8 Hepatitis B Acute Disseminated Insufficient Low-Intermediate Inadequate Encephalomyelitis 8 Hepatitis B Transverse Myelitis Insufficient Weak Inadequate 8 Hepatitis B Optic Neuritisb Limited Lacking Inadequate 8 Hepatitis B Neuromyelitis Optica Insufficient Lacking Inadequate 8 Hepatitis B Multiple Sclerosis Onset in Adults Limited Lacking Inadequate 8 Hepatitis B Multiple Sclerosis Onset in Children Limited Lacking Inadequate 8 Hepatitis B Multiple Sclerosis Relapse in Adults Limited Lacking Inadequate 8 Hepatitis B Multiple Sclerosis Relapse in Children Limited Lacking Inadequate 8 Hepatitis B First Demyelinating Event in Adults Moderate (null) Low-Intermediate Inadequate 8 Hepatitis B First Demyelinating Event in Children Limited Lacking Inadequate 8 Hepatitis B Guillain-Barré syndrome Insufficient Lacking Inadequate 681 continued
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From page 682... ...
8 Hepatitis B Erythema Nodosumb Insufficient Weak Inadequate 8 Hepatitis B Onset or Exacerbation of Systemic Limited Weak Inadequate Lupus Erythematosus (onset) Insufficient (exacerbation)
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From page 683... ...
8 Hepatitis B Onset or Exacerbation of Juvenile Insufficient Weak Inadequate Idiopathic Arthritis 8 Hepatitis B Type 1 Diabetes Moderate (null) Lacking Inadequate 8 Hepatitis B Fibromyalgia Insufficient Lacking Inadequate 9 HPV Acute Disseminated Insufficient Lacking Inadequate Encephalomyelitis 9 HPV Transverse Myelitis Insufficient Lacking Inadequate 9 HPV Neuromyelitis Optica Insufficient Lacking Inadequate 9 HPV Multiple Sclerosis Insufficient Lacking Inadequate 9 HPV Guillain-Barré syndrome Insufficient Lacking Inadequate 9 HPV Chronic Inflammatory Disseminated Insufficient Lacking Inadequate Polyneuropathy 9 HPV Brachial Neuritis Insufficient Lacking Inadequate 9 HPV Amyotrophic Lateral Sclerosis Insufficient Lacking Inadequate 9 HPV Anaphylaxis Insufficient Intermediate Favors Acceptance 9 HPV Transient Arthralgia Limited Lacking Inadequate 9 HPV Pancreatitis Insufficient Lacking Inadequate 9 HPV Thromboembolic Events Insufficient Lacking Inadequate 9 HPV Hypercoagulable States Insufficient Lacking Inadequate 10 DT, TT, or aP Encephalitis Limited Weak Inadequate containing 10 DT, TT, or aP Encephalopathy Limited Weak Inadequate containing 683 continued
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From page 684... ...
10 DT, TT, or aP Ataxia Insufficient Lacking Inadequate containing 10 DT, TT, or aP Autism Insufficient Lacking Inadequate containing 10 DT, TT, or aP Acute Disseminated Insufficient Weak Inadequate containing Encephalomyelitis (tetanus toxoid) Lacking (diphtheria toxoid or acellular pertussis)
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From page 685... ...
10 DT, TT, or aP Multiple Sclerosis Relapse in Adults Limited Lacking Inadequate containing (tetanus toxoid) Insufficient (diphtheria toxoid or acellular pertussis)
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From page 686... ...
10 TT containing Anaphylaxis Insufficient Strong Convincingly Supports 10 DT and aP Anaphylaxis Insufficient Lacking Inadequate containing 10 DT, TT, or aP Chronic Urticaria Insufficient Lacking Inadequate containing 10 DT, TT, or aP Serum Sickness Insufficient Weak Inadequate containing (diphtheria toxoid or tetanus toxoid) Lacking (acellular pertussis)
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From page 687... ...
10 DT, TT, or aP Fibromyalgia Insufficient Lacking Inadequate containing 10 DT, TT, or aP Sudden Infant Death Syndrome Insufficient Lacking Inadequate containing 10 DT, TT, or aP Immune Thrombocytopenic Purpura Insufficient Lacking Inadequate containing 11 Meningococcal Encephalitis Limited Lacking Inadequate 11 Meningococcal Encephalopathy Limited Lacking Inadequate 11 Meningococcal Acute Disseminated Insufficient Lacking Inadequate Encephalomyelitis 11 Meningococcal Transverse Myelitis Insufficient Lacking Inadequate 11 Meningococcal Multiple Sclerosis Insufficient Lacking Inadequate 11 Meningococcal Guillain-Barré syndrome Limited Lacking Inadequate 11 Meningococcal Chronic Inflammatory Disseminated Insufficient Lacking Inadequate Polyneuropathy 11 Meningococcal Anaphylaxis Insufficient Strong Convincingly Supports 11 Meningococcal Chronic Headache Insufficient Lacking Inadequate 12 Injection-Related Complex Regional Pain Syndrome Insufficient Low-Intermediate Inadequate Event 687 continued
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From page 688... ...
b Although not originally charged to the committee by the sponsor, the committee considered this adverse event in its review of the literature. c The committee attributes causation to the rubella component of the vaccine.
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From page 689... ...
5 Varicella Vaccine Strain Viral Reactivation Insufficient Strong Convincingly Supports without Other Organ Involvement 5 Varicella Vaccine Strain Viral Reactivation Limited Strong Convincingly Supports with Subsequent Infection resulting in (subsequent infection Meningitis or Encephalitis resulting in encephalitis) Insufficient (subsequent infection resulting in meningitis)
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From page 690... ...
4 MMR Febrile Seizures High (increase) Intermediate Convincingly Supports 4 MMR Afebrile Seizures Limited Lacking Inadequate 5 Varicella Seizures Limited Weak Inadequate
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From page 691... ...
Lacking (diphtheria toxoid or tetanus toxoid) 4 MMR Meningitisb Moderate (null)
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From page 692... ...
11 Meningococcal Acute Disseminated Insufficient Lacking Inadequate Encephalomyelitis 4 MMR Transverse Myelitis Insufficient Weak Inadequate 5 Varicella Transverse Myelitis Insufficient Weak Inadequate 6 Influenza Transverse Myelitis Insufficient Weak Inadequate 7 Hepatitis A Transverse Myelitis Insufficient Weak Inadequate 8 Hepatitis B Transverse Myelitis Insufficient Weak Inadequate 9 HPV Transverse Myelitis Insufficient Lacking Inadequate
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From page 693... ...
6 Influenza Neuromyelitis Optica Insufficient Lacking Inadequate 8 Hepatitis B Neuromyelitis Optica Insufficient Lacking Inadequate 9 HPV Neuromyelitis Optica Insufficient Lacking Inadequate 4 MMR Multiple Sclerosis Onset in Adults Limited Lacking Inadequate 6 Influenza Multiple Sclerosis Onset in Adults Limited Lacking Inadequate 8 Hepatitis B Multiple Sclerosis Onset in Adults Limited Lacking Inadequate 693 continued
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From page 694... ...
4 MMR Multiple Sclerosis Onset in Children Limited Lacking Inadequate 8 Hepatitis B Multiple Sclerosis Onset in Children Limited Lacking Inadequate 6 Influenza Multiple Sclerosis Relapse in Adults Limited Lacking Inadequate 8 Hepatitis B Multiple Sclerosis Relapse in Adults Limited Lacking Inadequate 10 DT, TT, or aP Multiple Sclerosis Relapse in Adults Limited Lacking Inadequate containing (tetanus toxoid) Insufficient (diphtheria toxoid or acellular pertussis)
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From page 695... ...
Weak Inadequate 7 Hepatitis A Guillain-Barré syndrome Insufficient Weak Inadequate 8 Hepatitis B Guillain-Barré syndrome Insufficient Lacking Inadequate 9 HPV Guillain-Barré syndrome Insufficient Lacking Inadequate 10 DT, TT, or aP Guillain-Barré syndrome Insufficient Lacking Inadequate containing 11 Meningococcal Guillain-Barré syndrome Limited Lacking Inadequate 4 MMR Chronic Inflammatory Disseminated Insufficient Lacking Inadequate Polyneuropathy 6 Influenza Chronic Inflammatory Disseminated Insufficient Weak Inadequate Polyneuropathy 7 Hepatitis A Chronic Inflammatory Disseminated Insufficient Lacking Inadequate Polyneuropathy 8 Hepatitis B Chronic Inflammatory Disseminated Insufficient Lacking Inadequate Polyneuropathy 9 HPV Chronic Inflammatory Disseminated Insufficient Lacking Inadequate Polyneuropathy 695 continued
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From page 696... ...
Insufficient Lacking (diphtheria toxoid or (acellular pertussis) tetanus toxoid)
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From page 697... ...
9 HPV Anaphylaxis Insufficient Intermediate Favors Acceptance 10 DT and aP Anaphylaxis Insufficient Lacking Inadequate containing 10 TT containing Anaphylaxis Insufficient Strong Convincingly Supports 11 Meningococcal Anaphylaxis Insufficient Strong Convincingly Supports 10 DT, TT, or aP Chronic Urticaria Insufficient Lacking Inadequate containing 10 DT, TT, or aP Serum Sickness Insufficient Weak Inadequate containing (diphtheria toxoid or tetanus toxoid) Lacking (acellular pertussis)
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From page 698... ...
Weak Inadequate or Asthma Exacerbation or Reactive Airway Disease Episodes in Persons 5 Years of Age or Older 8 Hepatitis B Erythema Nodosumb Insufficient Weak Inadequate 6 Influenza Onset or Exacerbation of Systemic Limited Lacking Inadequate Lupus Erythematosus (exacerbation) Insufficient (onset)
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From page 699... ...
8 Hepatitis B Onset or Exacerbation of Juvenile Insufficient Weak Inadequate Idiopathic Arthritis 4 MMR Transient Arthralgia in Women Moderate (increase) Intermediate Favors Acceptancec (rubella)
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From page 700... ...
5 Varicella Onset or Exacerbation Arthropathy Insufficient Lacking Inadequate 6 Influenza Onset or Exacerbation of Insufficient Weak Inadequate Arthropathy 10 DT, TT, or aP Arthropathy Limited Lacking Inadequate containing (diphtheria toxoid or tetanus toxoid) Insufficient (acellular pertussis)
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From page 701... ...
Lacking (Inactivated Influenza Vaccine) 4 MMR Chronic Fatigue Syndrome Insufficient Lacking Inadequate 11 Meningococcal Chronic Headache Insufficient Lacking Inadequate 4 MMR Fibromyalgia Insufficient Lacking Inadequate 701 continued
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From page 702... ...
d Intermediated Favors Acceptanced 5 Varicella Thrombocytopenia Insufficient Weak Inadequate 10 DT, TT, or aP Immune Thrombocytopenic Purpura Insufficient Lacking Inadequate containing 12 Injection-Related Complex Regional Pain Syndrome Insufficient Low-Intermediate Inadequate Event
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From page 703... ...
b Although not originally charged to the committee by the sponsor, the committee considered this adverse event in its review of the literature. c The committee attributes causation to the rubella component of the vaccine.
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From page 704... ...
5 Varicella Vaccine Strain Viral Reactivation Insufficient Strong Convincingly Supports without Other Organ Involvement 5 Varicella Vaccine Strain Viral Reactivation Limited Strong Convincingly Supports with Subsequent Infection resulting in (subsequent infection Meningitis or Encephalitis resulting in encephalitis) Insufficient (subsequent infection resulting in meningitis)
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From page 705... ...
10 TT containing Anaphylaxis Insufficient Strong Convincingly Supports 11 Meningococcal Anaphylaxis Insufficient Strong Convincingly Supports 12 Injection-Related Deltoid Bursitis Limited Strong Convincingly Supports Event 12 Injection-Related Syncope Insufficient Strong Convincingly Supports Event 9 HPV Anaphylaxis Insufficient Intermediate Favors Acceptance 4 MMR Transient Arthralgia in Women Moderate (increase) Intermediate Favors Acceptanceb (rubella)
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From page 706... ...
Weak Favors Rejection Asthma Exacerbation or Reactive Airway Disease Episodes in Children and Adults 4 MMR Type 1 Diabetes High (null) Lacking Favors Rejection 10 DT, TT, or aP Type 1 Diabetes High (null)
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From page 707... ...
Lacking (diphtheria toxoid or tetanus toxoid) 4 MMR Meningitisd Moderate (null)
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From page 708... ...
11 Meningococcal Acute Disseminated Insufficient Lacking Inadequate Encephalomyelitis
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From page 709... ...
6 Influenza Neuromyelitis Optica Insufficient Lacking Inadequate 8 Hepatitis B Neuromyelitis Optica Insufficient Lacking Inadequate 709 continued
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From page 710... ...
4 MMR Multiple Sclerosis Onset in Children Limited Lacking Inadequate 8 Hepatitis B Multiple Sclerosis Onset in Children Limited Lacking Inadequate 6 Influenza Multiple Sclerosis Relapse in Adults Limited Lacking Inadequate 8 Hepatitis B Multiple Sclerosis Relapse in Adults Limited Lacking Inadequate 10 DT, TT, or aP Multiple Sclerosis Relapse in Adults Limited Lacking Inadequate containing (tetanus toxoid) Insufficient (diphtheria toxoid or acellular pertussis)
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From page 711... ...
7 Hepatitis A Multiple Sclerosis Insufficient Lacking Inadequate 9 HPV Multiple Sclerosis Insufficient Lacking Inadequate 11 Meningococcal Multiple Sclerosis Insufficient Lacking Inadequate 8 Hepatitis B First Demyelinating Event in Adults Moderate (null) Low-Intermediate Inadequate 8 Hepatitis B First Demyelinating Event in Children Limited Lacking Inadequate 4 MMR Guillain-Barré syndrome Insufficient Weak Inadequate 5 Varicella Guillain-Barré syndrome Insufficient Weak Inadequate 6 Influenza Guillain-Barré syndrome Moderate (null)
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From page 712... ...
Insufficient Lacking (diphtheria toxoid or (acellular pertussis) tetanus toxoid)
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From page 713... ...
6 Influenza Live Attenuated Influenza Vaccine Moderate (null) Weak Inadequate or Asthma Exacerbation or Reactive Airway Disease Episodes in Children Younger Than 5 Years of Age 6 Influenza Live Attenuated Influenza Vaccine Moderate (null)
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From page 714... ...
8 Hepatitis B Onset or Exacerbation of Systemic Limited Weak Inadequate Lupus Erythematosus (onset) Insufficient (exacerbation)
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From page 715... ...
5 Varicella Onset or Exacerbation Arthropathy Insufficient Lacking Inadequate 6 Influenza Onset or Exacerbation of Insufficient Weak Inadequate Arthropathy 715 continued
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From page 716... ...
8 Hepatitis B Type 1 Diabetes Moderate (null) Lacking Inadequate 7 Hepatitis A Autoimmune Hepatitis Insufficient Weak Inadequate 10 DT, TT, or aP Myocarditis Insufficient Weak Inadequate containing (diphtheria toxoid)
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From page 717... ...
Lacking (Inactivated Influenza Vaccine) 4 MMR Chronic Fatigue Syndrome Insufficient Lacking Inadequate 11 Meningococcal Chronic Headache Insufficient Lacking Inadequate 4 MMR Fibromyalgia Insufficient Lacking Inadequate 6 Influenza Fibromyalgia Insufficient Lacking Inadequate 8 Hepatitis B Fibromyalgia Insufficient Lacking Inadequate 10 DT, TT, or aP Fibromyalgia Insufficient Lacking Inadequate containing 10 DT, TT, or aP Sudden Infant Death Syndrome Insufficient Lacking Inadequate containing 4 MMR Hearing Loss Insufficient Low-Intermediate Inadequate (measles or mumps)
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From page 718... ...
b The committee attributes causation to the rubella component of the vaccine. c The committee attributes causation to two particular vaccines used in three particular years in Canada.
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From page 719... ...
Weak Favors Rejection Asthma Exacerbation or Reactive Airway Disease Episodes in Children and Adults 4 MMR Type 1 Diabetes High (null) Lacking Favors Rejection 10 DT, TT, or aP Type 1 Diabetes High (null)
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From page 720... ...
Weak Inadequate or Asthma Exacerbation or Reactive Airway Disease Episodes in Children Younger Than 5 Years of Age 6 Influenza Live Attenuated Influenza Vaccine Moderate (null) Weak Inadequate or Asthma Exacerbation or Reactive Airway Disease Episodes in Persons 5 Years of Age or Older 8 Hepatitis B Type 1 Diabetes Moderate (null)
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From page 721... ...
Insufficient (subsequent infection resulting in meningitis or hepatitis) 5 Varicella Vaccine Strain Viral Reactivation Limited Strong Convincingly Supports with Subsequent Infection Resulting (subsequent infection in Meningitis or Encephalitis resulting in encephalitis)
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From page 722... ...
4 MMR Afebrile Seizures Limited Lacking Inadequate 5 Varicella Seizures Limited Weak Inadequate 8 Hepatitis B Seizures Limited Lacking Inadequate 10 DT, TT, or aP Seizures Limited Weak Inadequate containing (acellular pertussis) Lacking (diphtheria toxoid or tetanus toxoid)
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From page 723... ...
4 MMR Multiple Sclerosis Onset in Children Limited Lacking Inadequate 8 Hepatitis B Multiple Sclerosis Onset in Children Limited Lacking Inadequate 6 Influenza Multiple Sclerosis Relapse in Adults Limited Lacking Inadequate 8 Hepatitis B Multiple Sclerosis Relapse in Adults Limited Lacking Inadequate 10 DT, TT, or aP Multiple Sclerosis Relapse in Adults Limited Lacking Inadequate containing (tetanus toxoid) Insufficient (diphtheria toxoid or acellular pertussis)
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From page 724... ...
Insufficient Lacking (diphtheria toxoid or (acellular pertussis) tetanus toxoid)
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From page 725... ...
10 DT, TT, or aP Arthropathy Limited Lacking Inadequate containing (diphtheria toxoid or tetanus toxoid) Insufficient (acellular pertussis)
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From page 726... ...
Lacking (mumps or rubella) 6 Influenza Encephalitis Insufficient Weak Inadequate 8 Hepatitis B Encephalitis Insufficient Lacking Inadequate 5 Varicella Encephalopathy Insufficient Lacking Inadequate 6 Influenza Encephalopathy Insufficient Weak Inadequate 8 Hepatitis B Encephalopathy Insufficient Lacking Inadequate 5 Varicella Cerebellar Ataxia Insufficient Weak Inadequate 4 MMR Ataxia Insufficient Weak Inadequate (measles or mumps)
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From page 727... ...
11 Meningococcal Acute Disseminated Insufficient Lacking Inadequate Encephalomyelitis 4 MMR Transverse Myelitis Insufficient Weak Inadequate 5 Varicella Transverse Myelitis Insufficient Weak Inadequate 6 Influenza Transverse Myelitis Insufficient Weak Inadequate 727 continued
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From page 728... ...
6 Influenza Neuromyelitis Optica Insufficient Lacking Inadequate 8 Hepatitis B Neuromyelitis Optica Insufficient Lacking Inadequate 9 HPV Neuromyelitis Optica Insufficient Lacking Inadequate 7 Hepatitis A Multiple Sclerosis Insufficient Lacking Inadequate 9 HPV Multiple Sclerosis Insufficient Lacking Inadequate 11 Meningococcal Multiple Sclerosis Insufficient Lacking Inadequate 4 MMR Guillain-Barré syndrome Insufficient Weak Inadequate 5 Varicella Guillain-Barré syndrome Insufficient Weak Inadequate 7 Hepatitis A Guillain-Barré syndrome Insufficient Weak Inadequate 8 Hepatitis B Guillain-Barré syndrome Insufficient Lacking Inadequate
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From page 729... ...
9 HPV Guillain-Barré syndrome Insufficient Lacking Inadequate 10 DT, TT, or aP Guillain-Barré syndrome Insufficient Lacking Inadequate containing 4 MMR Chronic Inflammatory Disseminated Insufficient Lacking Inadequate Polyneuropathy 6 Influenza Chronic Inflammatory Disseminated Insufficient Weak Inadequate Polyneuropathy 7 Hepatitis A Chronic Inflammatory Disseminated Insufficient Lacking Inadequate Polyneuropathy 8 Hepatitis B Chronic Inflammatory Disseminated Insufficient Lacking Inadequate Polyneuropathy 9 HPV Chronic Inflammatory Disseminated Insufficient Lacking Inadequate Polyneuropathy 10 DT, TT, or aP Chronic Inflammatory Disseminated Insufficient Lacking Inadequate containing Polyneuropathy 11 Meningococcal Chronic Inflammatory Disseminated Insufficient Lacking Inadequate Polyneuropathy 4 MMR Opsoclonus Myoclonus Syndrome Insufficient Lacking Inadequate 10 DT, TT, or aP Opsoclonus Myoclonus Syndrome Insufficient Lacking Inadequate containing 7 Hepatitis A Bell's Palsy Insufficient Lacking Inadequate 4 MMR Brachial Neuritis Insufficient Lacking Inadequate 6 Influenza Brachial Neuritis Insufficient Lacking Inadequate 8 Hepatitis B Brachial Neuritis Insufficient Lacking Inadequate 729 continued
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From page 730... ...
9 HPV Anaphylaxis Insufficient Intermediate Favors Acceptance 10 TT containing Anaphylaxis Insufficient Strong Convincingly Supports 10 DT and aP Anaphylaxis Insufficient Lacking Inadequate containing 11 Meningococcal Anaphylaxis Insufficient Strong Convincingly Supports 10 DT, TT, or aP Chronic Urticaria Insufficient Lacking Inadequate containing 10 DT, TT, or aP Serum Sickness Insufficient Weak Inadequate containing (diphtheria toxoid or tetanus toxoid) Lacking (acellular pertussis)
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From page 731... ...
5 Varicella Onset or Exacerbation Arthropathy Insufficient Lacking Inadequate 6 Influenza Onset or Exacerbation of Insufficient Weak Inadequate Arthropathy 7 Hepatitis A Autoimmune Hepatitis Insufficient Weak Inadequate 10 DT, TT, or aP Myocarditis Insufficient Weak Inadequate containing (diphtheria toxoid) Lacking (tetanus toxoid or acellular pertussis)
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From page 732... ...
5 Varicella Thrombocytopenia Insufficient Weak Inadequate 10 DT, TT, or aP Immune Thrombocytopenic Purpura Insufficient Lacking Inadequate containing
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From page 733... ...
b The committee attributes causation to two particular vaccines used in three particular years in Canada. c Although not originally charged to the committee by the sponsor, the committee considered this adverse event in its review of the literature.
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From page 734... ...
5 Varicella Vaccine Strain Viral Reactivation Insufficient Strong Convincingly Supports without Other Organ Involvement 5 Varicella Vaccine Strain Viral Reactivation Limited Strong Convincingly Supports with Subsequent Infection resulting in (subsequent infection Meningitis or Encephalitis resulting in encephalitis) Insufficient (subsequent infection resulting in meningitis)
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From page 735... ...
10 TT containing Anaphylaxis Insufficient Strong Convincingly Supports 11 Meningococcal Anaphylaxis Insufficient Strong Convincingly Supports 12 Injection-Related Deltoid Bursitis Limited Strong Convincingly Supports Event 12 Injection-Related Syncope Insufficient Strong Convincingly Supports Event 4 MMR Febrile Seizures High (increase) Intermediate Convincingly Supports 9 HPV Anaphylaxis Insufficient Intermediate Favors Acceptance 4 MMR Transient Arthralgia in Women Moderate (increase)
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From page 736... ...
12 Injection-Related Complex Regional Pain Syndrome Insufficient Low-Intermediate Inadequate Event 4 MMR Encephalitis Limited Weak Inadequate 6 Influenza Encephalitis Insufficient Weak Inadequate 10 DT, TT, or aP Encephalitis Limited Weak Inadequate containing 4 MMR Encephalopathy Limited Weak Inadequate 6 Influenza Encephalopathy Insufficient Weak Inadequate 10 DT, TT, or aP Encephalopathy Limited Weak Inadequate containing
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From page 737... ...
Lacking (diphtheria toxoid or acellular pertussis) 737 continued
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From page 738... ...
4 MMR Guillain-Barré syndrome Insufficient Weak Inadequate 5 Varicella Guillain-Barré syndrome Insufficient Weak Inadequate 6 Influenza Guillain-Barré syndrome Moderate (null) Weak Inadequate 7 Hepatitis A Guillain-Barré syndrome Insufficient Weak Inadequate 6 Influenza Chronic Inflammatory Disseminated Insufficient Weak Inadequate Polyneuropathy
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From page 739... ...
7 Hepatitis A Anaphylaxis Insufficient Weak Inadequate 10 DT, TT, or aP Serum Sickness Insufficient Weak Inadequate containing (diphtheria toxoid or tetanus toxoid) Lacking (acellular pertussis)
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From page 740... ...
8 Hepatitis B Onset or Exacerbation of Juvenile Insufficient Weak Inadequate Idiopathic Arthritis 4 MMR Transient Arthralgia in Children Moderate (increase) Weak Favors Acceptance (rubella)
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From page 741... ...
6 Influenza Onset or Exacerbation of Arthropathy Insufficient Weak Inadequate 7 Hepatitis A Autoimmune Hepatitis Insufficient Weak Inadequate 10 DT, TT, or aP Myocarditis Insufficient Weak Inadequate containing (diphtheria toxoid) Lacking (tetanus toxoid or acellular pertussis)
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From page 742... ...
Lacking (Inactivated Influenza Vaccine) 5 Varicella Thrombocytopenia Insufficient Weak Inadequate 8 Hepatitis B Encephalitis Insufficient Lacking Inadequate 11 Meningococcal Encephalitis Limited Lacking Inadequate 5 Varicella Encephalopathy Insufficient Lacking Inadequate 8 Hepatitis B Encephalopathy Insufficient Lacking Inadequate 11 Meningococcal Encephalopathy Limited Lacking Inadequate 10 DT, TT, or aP Infantile Spasms Limited Lacking Inadequate containing (diphtheria toxoid or tetanus toxoid)
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From page 743... ...
Insufficient (acellular pertussis) 6 Influenza Neuromyelitis Optica Insufficient Lacking Inadequate 8 Hepatitis B Neuromyelitis Optica Insufficient Lacking Inadequate 9 HPV Neuromyelitis Optica Insufficient Lacking Inadequate 4 MMR Multiple Sclerosis Onset in Adults Limited Lacking Inadequate 6 Influenza Multiple Sclerosis Onset in Adults Limited Lacking Inadequate 8 Hepatitis B Multiple Sclerosis Onset in Adults Limited Lacking Inadequate 743 continued
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From page 744... ...
4 MMR Multiple Sclerosis Onset in Children Limited Lacking Inadequate 8 Hepatitis B Multiple Sclerosis Onset in Children Limited Lacking Inadequate 6 Influenza Multiple Sclerosis Relapse in Adults Limited Lacking Inadequate 8 Hepatitis B Multiple Sclerosis Relapse in Adults Limited Lacking Inadequate 10 DT, TT, or aP Multiple Sclerosis Relapse in Adults Limited Lacking Inadequate containing (tetanus toxoid) Insufficient (diphtheria toxoid or acellular pertussis)
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From page 745... ...
11 Meningococcal Multiple Sclerosis Insufficient Lacking Inadequate 8 Hepatitis B First Demyelinating Event in Children Limited Lacking Inadequate 8 Hepatitis B Guillain-Barré syndrome Insufficient Lacking Inadequate 9 HPV Guillain-Barré syndrome Insufficient Lacking Inadequate 10 DT, TT, or aP Guillain-Barré syndrome Insufficient Lacking Inadequate containing 11 Meningococcal Guillain-Barré syndrome Limited Lacking Inadequate 4 MMR Chronic Inflammatory Disseminated Insufficient Lacking Inadequate Polyneuropathy 7 Hepatitis A Chronic Inflammatory Disseminated Insufficient Lacking Inadequate Polyneuropathy 8 Hepatitis B Chronic Inflammatory Disseminated Insufficient Lacking Inadequate Polyneuropathy 9 HPV Chronic Inflammatory Disseminated Insufficient Lacking Inadequate Polyneuropathy 10 DT, TT, or aP Chronic Inflammatory Disseminated Insufficient Lacking Inadequate containing Polyneuropathy 11 Meningococcal Chronic Inflammatory Disseminated Insufficient Lacking Inadequate Polyneuropathy 4 MMR Opsoclonus Myoclonus Syndrome Insufficient Lacking Inadequate 10 DT, TT, or aP Opsoclonus Myoclonus Syndrome Insufficient Lacking Inadequate containing 6 Influenza Inactivated Influenza Vaccine and Bell's High (null) Lacking Favors Rejection Palsy 745 continued
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From page 746... ...
6 Influenza Polyarteritis Nodosa Insufficient Lacking Inadequate 8 Hepatitis B Onset or Exacerbation of Psoriatic Insufficient Lacking Inadequate Arthritis 9 HPV Transient Arthralgia Limited Lacking Inadequate 5 Varicella Onset or Exacerbation Arthropathy Insufficient Lacking Inadequate
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From page 747... ...
9 HPV Hypercoagulable States Insufficient Lacking Inadequate 4 MMR Chronic Fatigue Syndrome Insufficient Lacking Inadequate 11 Meningococcal Chronic Headache Insufficient Lacking Inadequate 4 MMR Fibromyalgia Insufficient Lacking Inadequate 6 Influenza Fibromyalgia Insufficient Lacking Inadequate 8 Hepatitis B Fibromyalgia Insufficient Lacking Inadequate 10 DT, TT, or aP Fibromyalgia Insufficient Lacking Inadequate containing 10 DT, TT, or aP Sudden Infant Death Syndrome Insufficient Lacking Inadequate containing 747 continued
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From page 748... ...
b The committee attributes causation to the rubella component of the vaccine. c The committee attributes causation to two particular vaccines used in three particular years in Canada.
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