Read the Fine Print: Vaccine Package Inserts Reveal Hundreds of Medical Conditions Linked to Vaccines

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By the Children’s Health Defense Team

In March 2015, Dr. Anthony Fauci—the career National Institutes of Health official elevated by the media to the status of COVID-19 Grand Poobah—told PBS’s Frontline with a straight face that risks from vaccines are “almost nonmeasurable.” Fauci then proceeded to downplay every potential vaccine risk proposed by the interviewer, stating that each had “no basis in reality.” Having served at the helm of the National Institute of Allergy and Infectious Diseases (NIAID) since 1984, Fauci surely was aware then, and is aware now, that the National Vaccine Injury Compensation Program established in the late 1980s has paid out billions of dollars to the vaccine-injured: $4.3 billion as of April 1, 2020. Did Fauci feel that he could get away with making such dismissive statements because he knew about the Harvard study from 2010 showing that fewer than 1% of vaccine adverse events get reported—and what isn’t reported can’t be measured?

All package inserts (made available online by both the FDA and vaccine companies) contain a section on Postmarketing Experience (Section 6.2) that lists adverse events “spontaneously reported in the US and other countries” after the vaccine’s licensure.

Vaccines belong to the class of pharmaceutical products called biologics, products that allergy experts widely recognize for their “potential to cause allergic hypersensitivity reactions,” among other adverse effects. Is Dr. Fauci—director of an institution focused on allergies and immunology—unaware that the package inserts of at least 22 vaccines list allergic hypersensitivity reactions as an adverse event, and that the inserts of at least 31 vaccines list post-vaccine anaphylactic reactions?

The fact is that vaccine package inserts are one of the few available sources of detailed information that consumers can turn to when they want to sidestep official stonewalling and learn about the more than 200 adverse events reported for vaccines given to children and adolescents. All package inserts (made available online by both the FDA and vaccine companies) contain a section on Postmarketing Experience (Section 6.2) that lists adverse events “spontaneously reported in the US and other countries” after the vaccine’s licensure. Manufacturers include adverse events in the list on the basis of severity, frequency of reporting and strength of evidence for a causal relationship to the vaccine. They also include adverse events that may not have been detected during the vaccine’s clinical trials.

… vaccines—promoted for the prevention of 13 illnesses—have yielded postmarketing reports of at least 217 adverse medical outcomes, including death.

Shining a light on the fine print

To facilitate parents’ use of the information buried in small print in the package inserts, Children’s Health Defense has conducted a comprehensive review of the adverse events reported in Section 6.2 for all vaccines currently included in the U.S. childhood and adolescent vaccine schedule. The review includes 38 vaccine brands produced by 8 different manufacturers to protect against diphtheria, Haemophilus influenzae type b, hepatitis A, hepatitis B, human papillomavirus, influenza, meningococcal infection, pertussis, pneumococcal infection, polio, rotavirus, tetanus and varicella (Table 1). According to the information compiled from the inserts, these vaccines—promoted for the prevention of 13 illnesses—have yielded postmarketing reports of at least 217 adverse medical outcomes, including death (Table 2).

There are several things to note about the information presented in Table 2. First, while we used the verbatim insert terminology for each disorder and also largely stuck to the disease groupings in the package inserts, we added two categories—allergic and autoimmune disorders—that the inserts surprisingly omit. (The package inserts lump allergic reactions in with “immune system disorders.”) Second, there are a number of disorders that fit in more than one category; in those instances, we have included them (with an asterisk*) in both places (while counting them once). Third, the table only includes those adverse events that manufacturers decided to report in the inserts—but other adverse events are not only possible but likely, due to the widespread problem of underreporting. Notably, none of the package inserts include any mention of prevalent, childhood-onset neurodevelopmental disorders like tics or autism that published, peer-reviewed studies have linked to vaccines.

…the Pentacel vaccine (which contains a Hib component) can produce “invasive Hib disease”; the RotaTeq vaccine (for rotavirus) is associated with “transmission of vaccine virus strains to the unvaccinated”; and some influenza vaccines trigger influenza.

Themes

As readers peruse Table 2, they may notice the following themes:

Every single vaccine on the childhood/adolescent vaccine schedule is responsible for at least one adverse event. For example, as already noted, roughly four out of five vaccines (82%) are associated with reports of anaphylactic reactions. The incidence of anaphylaxis has been climbing in the U.S. for several decades. Medications are the top known triggers of anaphylaxis, while another 39% of anaphylaxis cases are idiopathic, meaning that the cause is “unknown.”

Vaccines can cause the very illnesses—or adverse consequences of those illnesses—that they are supposed to prevent. In the era of measles hype and hysteria, it is particularly important to point out that both MMR vaccines—MMR-II and ProQuad—are failing to prevent “atypical measles” (both vaccines), “measles” (ProQuad), “measles-like rash” (MMR-II) and “skin infections” (ProQuad). Likewise, the package inserts report “varicella” and “varicella-like rash” in the aftermath of vaccination with Varivax and ProQuad (which combines varicella with MMR). Equally concerning, the MMR-II and ProQuad vaccines—which have shifted mumps from a noneventful childhood illness to a fertility-endangering condition afflicting adolescents and adults—have produced reports of serious testicular problems (epididymitis and orchitis). Table 2 also shows that the Pentacel vaccine (which contains a Hib component) can produce “invasive Hib disease”; the RotaTeq vaccine (for rotavirus) is associated with “transmission of vaccine virus strains to the unvaccinated”; and some influenza vaccines trigger influenza.

Vaccines can also cause other serious infections. For example, the risky MMR-II, ProQuad and Varivax trio is linked to “pneumonia” and “pulmonary congestion,” the Infanrix and Pediarix vaccines are associated with “respiratory tract infections” and seven different vaccines are associated with various forms of meningitis. Ironically (or perhaps not), pneumonia and meningitis are the targets of the pneumococcal and meningococcal vaccines.

Vaccine adverse events affect numerous body systems, including the immune and nervous systems. Although the longest list of adverse impacts—41—is for effects on the nervous system, the wide-ranging list also shows effects on the blood, connective tissue, ears, eyes, gastrointestinal system, heart, liver, lymph nodes, musculoskeletal system, respiratory system, skin and more.

Dr. Fauci himself might want to take note of the fact that companies like Johnson & Johnson, one of those rushing to develop a coronavirus vaccine, have been censured by the Department of Justice for drug marketing fraud that exposed children and the elderly to serious side effects, including death.

Measurable and often unsafe

All pharmaceutical products come with potential side effects, and vaccines are no exception. For Dr. Fauci to describe the adverse events associated with vaccines as “almost nonmeasurable”—when they are not only described in package inserts but tracked in postmarketing surveillance systems such as the U.S. Vaccine Adverse Event Reporting System (VAERS), the European EudraVigilance system and the World Health Organization’s VigiBase system—is not only disingenuous but unethical. Given that Dr. Fauci’s wife is a senior NIH bioethicist, the NIAID director’s ethically murky eagerness to deemphasize the prevalence and significance of vaccine adverse events is surprising.

As the COVID-19 situation has brought Fauci into the limelight as “explainer-in-chief” of the epidemic—and proponent-in-chief of patentable vaccines that will use untested technologies while leapfrogging over ordinary vaccine development protocols—we would do well to query Fauci’s five-year-old throwaway remarks about vaccine safety. Dr. Fauci himself might want to take note of the fact that companies like Johnson & Johnson, one of those rushing to develop a coronavirus vaccine, have been censured by the Department of Justice for drug marketing fraud that exposed children and the elderly to “serious side effects, including death.”

Much has been made of Fauci’s, NIAID’s and the NIH’s cozy entanglements with Bill Gates, the Bill & Melinda Gates Foundation and the Gates-Foundation-created Coalition for Epidemic Preparedness Innovations (CEPI), particularly in light of the massive Gates Foundation and CEPI funding being directed toward coronavirus vaccines that the NIH is also supporting. Gates recently called for digital “certificates” showing who has received an eventual coronavirus vaccine and also made veiled statements that “you don’t want people moving around the world” unless they have received a vaccine. In that context, Fauci’s additional remarks in the 2015 Frontline interview take on somewhat ominous overtones. The good doctor stated that while “there’s never a situation where someone is going to tie you down and vaccinate you . . . you don’t want the respect for autonomy of people to get in the way of a public health mandate.”

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Table 1. Vaccine package inserts reviewed

Table 2. Adverse events reported in package inserts, by body system*

Body System Medical Disorder Vaccines Reporting Disorder Allergic (5) Allergic reactions/hypersensitivity* ActHIB, Adacel, Afluria, Bexero, Boostrix, Daptacel, Engerix-B, Fluarix, Flublok, FluMist, Fluzone, Hiberix, Infanrix, IPOL, Kinrix, Pediarix, Pentacel, Quadracel, Recombivax, Tenivac, Trumenba, Twinrix Anaphylactic and anaphylactoid reactions, including shock* ActHIB, Adacel, Afluria, Bexero, Boostrix, Daptacel, Engerix-B, Fluarix, Flublok, Flucelvax, Flulaval, FluMist, Fluzone, Havrix, Hiberix, Infanrix, IPOL, Kinrix, MMR-II, Pediarix, Pentacel, Pneumovax-23, Prevnar-13, ProQuad, Quadracel, Recombivax, RotaTeq, Tenivac, Trumenba, Twinrix, Varivax Angioedema* ActHIB, Adacel, Boostrix, Daptacel, Engerix-B, Fluarix, Flucelvax, Flulaval, FluMist, Fluzone, Havrix, Hiberix, Infanrix, Kinrix, MMR-II, Pediarix, PedvaxHIB, Pneumovax-23, Prevnar-13, ProQuad, RotaTeq, Tenivac, Twinrix, Varivax Serum sickness* Afluria, Engerix-B, Fluarix, Havrix, Pneumovax-23, Recombivax, Twinrix Urticaria* [hives] ActHIB, Adacel, Afluria, Boostrix, DT, Engerix-B, Fluarix, Flucelvax, Flulaval, FluMist, Fluzone, Hiberix, Infanrix, IPOL, Kinrix, MMR-II, Pediarix, Pentacel, Pneumovax-23, Prevnar-13, Quadracel, Recombivax, RotaTeq, Tenivac, Twinrix Autoimmune (7) Diabetes mellitus* MMR-II Guillain-Barré syndrome* Adacel, Afluria, Engerix-B, Fluarix, Flulaval, FluMist, Fluzone, Havrix, MMR-II, PedvaxHIB, Pneumovax-23, ProQuad, Recombivax, Tenivac, Vaqta, Varivax Kawasaki disease* [blood vessel disease] Rotarix, RotaTeq Lupus-like syndrome* Recombivax Multiple sclerosis (or MS exacerbation)* Engerix-B, Havrix, Recombivax, Twinrix Pancreatitis* Gardasil/Gardasil 9, MMR-II Systemic lupus erythematosus* Recombivax Blood/lymphatic system (10) Anemia, aplasic or hemolytic Gardasil/Gardasil 9, Pneumovax-23, ProQuad, Varivax Epistaxis [nosebleed] FluMist, ProQuad Extravasation [blood vessel leakage] ProQuad Hematochezia [bloody stools] ProQuad, Rotarix, RotaTeq Increased erythrocyte sedimentation rate Recombivax Leukocytosis [increased white blood cells] MMR-II, Pneumovax-23 Lymphadenitis [swollen lymph nodes] Boostrix, Pneumovax-23, ProQuad Lymphadenopathy, including regional Boostrix, Daptacel, DT, Fluarix, Flulaval, Fluzone, Gardasil/Gardasil 9, Infanrix, IPOL, Kinrix, MMR-II, PedvaxHIB, Pneumovax-23, Prevnar-13, ProQuad, Tenivac Thrombocytopenia [low platelets] Afluria, Engerix-B, Fluzone, Havrix, Infanrix, Kinrix, MMR-II, Pneumovax-23, ProQuad, Recombivax, Twinrix, Vaqta, Varivax Thrombocytopenic purpura, idiopathic Gardasil/Gardasil 9, Rotarix, Twinrix, Varivax Cardiac (6) Cyanosis* [bluish discoloration, low oxygen] Daptacel, Hiberix, Infanrix, Pediarix, Pentacel, Prevnar-13, Quadracel Hypotension Adacel Myocarditis [heart muscle inflammation] Adacel, Boostrix Palpitations Engerix-B, Twinrix Pericarditis [pericardial inflammation] FluMist Tachycardia [abnormally high heart rate] Engerix-B, Fluarix, Recombivax, Twinrix Congenital (1) Congenital anomaly Havrix Death (2) Death Gardasil/Gardasil 9, MMR-II, Rotarix, RotaTeq Sudden Infant Death Syndrome (SIDS) Infanrix Ear/labyrinth (5) Ear pain Engerix-B, Infanrix, ProQuad, Twinrix Nerve deafness MMR-II, ProQuad Otitis media MMR-II Tinnitis Engerix-B, Recombivax, Twinrix Vertigo Engerix-B, Fluarix Eye (15) Conjunctivitis Engerix-B, Fluarix, MMR-II, Recombivax, Twinrix Eye irritation Fluarix, ProQuad Eye pain Fluarix, Flulaval Eye redness Fluarix Eye swelling Bexero, Fluarix Eyelid swelling Fluarix, ProQuad Keratitis [corneal inflammation] Engerix-B Ocular hyperemia [eye inflammation] Fluzone Ocular palsies* [nerve damage] MMR-II, ProQuad Optic neuritis/neuropathy, papillitis* [inflammation of optic nerve] Engerix-B, Fluzone, MMR-II, ProQuad, Recombivax, Twinrix Photophobia [light intolerance] Flulaval Retinitis, necrotizing [inflammation] MMR-II, ProQuad, Varivax Retrobulbar neuritis [nerve damage] MMR-II, ProQuad Uveitis [eye inflammation] Recombivax Visual disturbances Engerix-B, Recombivax, Twinrix Gastrointestinal (13) Abdominal pain, discomfort Fluarix, ProQuad Candidiasis* ProQuad Constipation Recombivax Diarrhea Daptacel, FluMist, MMR-II, Pediarix, Pentacel Dyspepsia [indigestion] Engerix-B, Twinrix Dysphagia [swallowing difficulties] Flulaval Gastroenteritis Rotarix, RotaTeq Intussusception, including recurrent/fatal Rotarix, RotaTeq Mouth ulcers ProQuad Nausea Daptacel, DT, Fluarix, FluMist, Gardasil/Gardasil 9, MMR-II, Pneumovax-23, Tdvax Pancreatitis* Gardasil/Gardasil 9, MMR-II Swelling of mouth, throat or tongue Fluarix Vomiting Flulaval, FluMist, Fluzone, Gardasil/Gardasil 9, MMR-II, Pediarix, Pentacel, Pneumovax-23, Tenivac General and injection site (20) Abnormal gait Flulaval Apathy ProQuad Asthenia [fatigue, weakness] Fluarix, Flulaval, Fluzone, Gardasil/Gardasil 9, Infanrix, Pediarix, Tenivac Body aches Fluarix Chest pain Fluarix, Flulaval, Fluzone Chills Fluarix, Gardasil/Gardasil 9, Havrix, Twinrix Decreased limb mobility Pneumovax-23 Feeling hot Fluarix Fever MMR-II, Pneumovax-23 Injected limb—extensive swelling ActHIB, Bexero, Hiberix Injection site abscess Adacel, Daptacel, Fluarix, Flulaval, PedvaxHIB, Pentacel, Quadracel Injection site bruising Adacel, Flulaval Injection site cellulitis Afluria, Daptacel, Fluarix, Flulaval, Pediarix, Quadracel, Tenivac Injection site reactions (mass, pain, warmth) Adacel, Afluria, Bexero, Boostrix, Daptacel, DT, Engerix-B, Fluarix, Flucelvax, Flulaval, Havrix, Hiberix, Infanrix, IPOL, Kinrix, MMR-II, Pediarix, Pentacel, Pneumovax-23, Prevnar-13, ProQuad, Quadracel, Tdvax, Tenivac, Twinrix Injection site rash Daptacel, Flulaval, IPOL, Prevnar-13 Listlessness Quadracel Malaise Gardasil/Gardasil 9, MMR-II, Pneumovax-23, Tdvax, Twinrix Peripheral edema ActHIB, MMR-II, Pneumovax-23, ProQuad, Tdvax, Tenivac, Varivax Pyrexia [fever] Tdvax Swelling MMR-II, ProQuad Hepatobiliary/liver (3) Elevation of liver enzymes Recombivax Hepatitis Havrix, Twinrix Jaundice Havrix, Twinrix Immune system (5) Allergic reactions/hypersensitivity* ActHIB, Adacel, Afluria, Bexero, Boostrix, Daptacel, Engerix-B, Fluarix, Flublok, FluMist, Fluzone, Hiberix, Infanrix, IPOL, Kinrix, Pediarix, Pentacel, Quadracel, Recombivax, Tenivac, Trumenba, Twinrix Anaphylactic and anaphylactoid reactions, including shock* ActHIB, Adacel, Afluria, Bexero, Boostrix, Daptacel, Engerix-B, Fluarix, Flublok, Flucelvax, Flulaval, FluMist, Fluzone, Havrix, Hiberix, Infanrix, IPOL, Kinrix, MMR-II, Pediarix, Pentacel, Pneumovax-23, Prevnar-13, ProQuad, Quadracel, Recombivax, RotaTeq, Tenivac, Trumenba, Twinrix, Varivax Angioedema,* angioneurotic edema ActHIB, Adacel, Boostrix, Daptacel, Engerix-B, Fluarix, Flucelvax, Flulaval, FluMist, Fluzone, Havrix, Hiberix, Infanrix, Kinrix, MMR-II, Pediarix, PedvaxHIB, Pneumovax-23, Prevnar-13, ProQuad, RotaTeq, Tenivac, Twinrix, Varivax Edema Adacel Serum sickness* Afluria, Engerix-B, Fluarix, Havrix, Pneumovax-23, Recombivax, Twinrix Infections and infestations (29) Atypical measles MMR-II, ProQuad Bronchitis Infanrix, ProQuad Candidiasis* ProQuad Cellulitis Daptacel, Infanrix, Pneumovax-23, ProQuad, Tdvax, Varivax Early-onset Hib disease PedvaxHIB Herpes simplex ProQuad Herpes zoster [shingles] Engerix-B, ProQuad, Recombivax, Twinrix, Varivax Infection ProQuad Influenza, influenza-like illness Afluria, Flulaval, Havrix, ProQuad Invasive Hib disease Pentacel Kawasaki disease* [blood vessel disease] Rotarix, RotaTeq Laryngitis Flulaval Measles ProQuad Measles-like rash MMR-II Meningitis (aseptic, eosinophilic) Engerix-B, FluMist, MMR-II, Pentacel, ProQuad, Twinrix, Varivax Pharyngitis Fluarix, Varivax Pneumonia, pneumonitis MMR-II, ProQuad, Varivax Pulmonary congestion ProQuad Respiratory tract infection Infanrix, Pediarix, ProQuad Rhinitis Fluarix, Flulaval, Havrix, MMR-II, Pentacel, ProQuad Secondary bacterial infections (skin, tissue) Varivax Sinusitis ProQuad Skin infection ProQuad Sore throat MMR-II, ProQuad Tonsillitis Fluarix Transmission of vaccine virus strains RotaTeq Varicella (vaccine strain) ProQuad, Varivax Varicella-like rash ProQuad Viral infection Pentacel Investigations (2) Abnormal liver function tests Engerix-B, Twinrix Increased serum C-reactive protein Pneumovax-23 Metabolic (3) Decreased appetite Pentacel Diabetes mellitus* MMR-II Mitochondrial encephalomyopathy, Leigh syndrom exacerbation [neurometabolic] FluMist Musculoskeletal/connective tissue (13) Arthralgia [joint pain] Boostrix, Engerix-B, IPOL, MMR-II, Pneumovax-23, ProQuad, Recombivax, Tdvax, Twinrix Arthritis Engerix-B, Flulaval, MMR-II, Pneumovax-23, ProQuad, Recombivax, Twinrix Back pain Boostrix Hypotonia [low muscle tone] Daptacel, Hiberix, Infanrix, Pediarix, Prevnar-13, Quadracel Lupus-like syndrome* Recombivax Muscle spasm Adacel Muscle weakness Engerix-B, Flulaval, Recombivax, Twinrix Musculoskeletal pain ProQuad Musculoskeletal stiffness Havrix Myalgia [muscle pain] Boostrix, IPOL, MMR-II, ProQuad, Tdvax, Tenivac Myositis [muscle inflammation] Adacel Pain in extremities Fluarix, Fluzone, Pediarix, Recombivax, Tdvax, Tenivac Systemic lupus erythematosus* Recombivax Nervous system (41) Acute disseminated encephalomyelitis MMR-II, ProQuad Ataxia [nervous system dysfunction] MMR-II, ProQuad, Varivax Bulging fontanelle Pediarix Cerebellar ataxia Vaqta Convulsions/seizures ActHIB, Adacel, Afluria, Boostrix, Daptacel, DT, Fluarix, Flulaval, Fluzone, Havrix, Hiberix, IPOL, Kinrix, MMR-II, Quadracel, Recombivax, Tdvax, Twinrix, Varivax Depressed level of consciousness Boostrix, Pediarix, Pentacel Dizziness Fluarix, Flulaval, Fluzone, Havrix, MMR-II, ProQuad, Tdvax, Tenivac, Varivax Encephalitis, vaccine-induced encephalitis [brain inflammation] Boostrix, Engerix-B, FluMist, MMR-II, Pediarix, Recombivax, Twinrix, Vaqta, Varivax Encephalomyelitis [brain and spinal cord] Afluria, Fluarix, Fluzone Encephalopathy [brain disease] Afluria, Engerix-B, Flulaval, Havrix, Infanrix, MMR-II, ProQuad, Twinrix Facial palsy, Bell’s palsy Adacel, Boostrix, Engerix-B, Fluarix, FluMist, Fluzone, ProQuad, Recombivax, Twinrix, Varivax Facial (or cranial) nerve paralysis Flulaval Facial paresis [impaired facial movement] Fluarix Febrile convulsions/seizures Afluria, Daptacel, Fluzone, IPOL, MMR-II, PedvaxHIB, Pneumovax-23, ProQuad, Quadracel, Recombivax Guillain-Barré syndrome* Adacel, Afluria, Engerix-B, Fluarix, Flulaval, FluMist, Fluzone, Havrix, MMR-II, PedvaxHIB, Pneumovax-23, ProQuad, Recombivax, Tenivac, Vaqta, Varivax Headache DT, Infanrix, IPOL, MMR-II, ProQuad, Tdvax, Twinrix Hypoesthesia [decreased tactile sensitivity] Adacel, Engerix-B, Fluarix, Flulaval, Havrix, Recombivax, Twinrix Hypokinesia [loss of muscle movement] Flulaval Hypotonic-hyporesponsive episode to immunization (HHE) Daptacel, Hiberix, Kinrix, Pediarix, Pentacel, Quadracel Lethargy Pediarix Limb paralysis Flulaval Measles inclusion body encephalitis MMR-II, ProQuad Migraine Engerix-B, Recombivax Multiple sclerosis (or MS exacerbation)* Engerix-B, Havrix, Recombivax, Twinrix Myelitis [spinal cord disease] Adacel, Fluarix, Fluzone, Havrix, Recombivax, Twinrix Neuralgia [nerve pain] Afluria Neuritis (including brachial, polyneuritis) Adacel, Afluria, Engerix-B, Fluarix, Fluzone, MMR-II, Twinrix Neuropathy, polyneuropathy Afluria, Engerix-B, Fluarix, Havrix, MMR-II, ProQuad, Recombivax, Twinrix Ocular palsies* [nerve damage] MMR-II, ProQuad Optic neuritis/neuropathy, papillitis* [inflammation of optic nerve] Engerix-B, Fluzone, MMR-II, ProQuad, Recombivax, Twinrix Paralysis Engerix-B, Twinrix Paresis [partial paralysis] Engerix-B, Twinrix Paresthesia [abnormal skin sensations] Adacel, Afluria, Boostrix, Engerix-B, Fluarix, Flucelvax, Flulaval, Fluzone, Havrix, IPOL, MMR-II, Pneumovax-23, ProQuad, Tenivac, Varivax Partial seizures, seizures Daptacel, Engerix-B, ProQuad Presyncope [feeling faint] Flucelvax Radiculopathy [“pinched nerve” in spine] Pneumovax-23, Recombivax Somnolence Daptacel, DT, Flulaval, Havrix, Hiberix, IPOL, Pediarix, Pentacel, Quadracel, Recombivax Subacute sclerosing panencephalitis MMR-II, ProQuad Syncope, vasovagal syncope [fainting] Adacel, Bexero, Boostrix, Daptacel, DT, Engerix-B, Fluarix, Flucelvax, Flulaval, Fluzone, Havrix, Hiberix, Infanrix, Kinrix, MMR-II, Pediarix, ProQuad, Recombivax, Tenivac, Trumenba Transverse myelitis Afluria, Engerix-B, Fluzone, MMR-II, ProQuad, Recombivax, Twinrix, Varivax Tremors Flulaval, ProQuad Psychiatric (8) Agitation IPOL, ProQuad, Recombivax Crying/unusual crying Pediarix Hypersomnia ProQuad Insomnia Flulaval, Pediarix Irritability MMR-II, Recombivax Nervousness Pediarix, ProQuad Restlessness Pediarix Screaming Daptacel, Pediarix, Pentacel, Quadracel Respiratory, thoracic and mediastinal (12) Apnea Engerix-B, Hiberix, Infanrix, Kinrix, Pediarix, Pentacel, Prevnar-13 Asthma, asthma-like symptoms Engerix-B, Fluarix, Twinrix Bronchospasm Engerix-B, Fluarix, Flulaval, MMR-II, ProQuad, Recombivax, Tenivac, Twinrix Cough Fluarix, Fluzone, Infanrix, MMR-II, Pediarix, Pentacel Cyanosis* [bluish discoloration, low oxygen] Daptacel, Hiberix, Infanrix, Pediarix, Pentacel, Prevnar-13, Quadracel Dyspnea [shortness of breath] Fluarix, Flulaval, Fluzone, Havrix, Pediarix, Quadracel, Twinrix Dysphonia [vocal abnormalities] Flulaval Oropharyngeal pain Fluzone Respiratory distress Fluarix Rhinorrhea [runny nose] Fluzone Stridor [high-pitched wheezing] Fluarix Throat tightness Flulaval, Fluzone Wheezing Fluzone, ProQuad Skin/ subcutaneous tissue (22) Acute hemorrhagic edema of infancy MMR-II, ProQuad Alopecia [hair loss] Engerix-B, Recombivax, Twinrix Ecchymoses [subcutaneous bleeding] Engerix-B, Recombivax, Twinrix Eczema Engerix-B, Recombivax, Twinrix Erythema [skin redness] Fluarix, Infanrix, MMR-II, Pediarix, Pentacel, Tdvax Erythema multiforme [skin disorder] Engerix-B, Fluarix, Havrix, MMR-II, Pneumovax-23, ProQuad, Prevnar-13, Recombivax, Twinrix, Varivax Erythema nodosum [nodules or lumps] Engerix-B, Recombivax, Twinrix Exanthem [widespread rash] Boostrix Facial swelling/edema Daptacel, Fluarix, MMR-II, ProQuad, Varivax Hyperhydrosis [abnormal sweating] Flulaval, Havrix, Twinrix Impetigo ProQuad, Varivax Lichen planus [inflammatory skin rash] Engerix-B, Twinrix Panniculitis [disease of fatty layer of skin] MMR-II, ProQuad Parotitis [salivary gland inflammation] MMR-II, ProQuad Pruritus [itchy skin] ActHIB, Adacel, Afluria, Boostrix, Daptacel, Fluarix, Flucelvax, Flulaval, Fluzone, Infanrix, Kinrix, MMR-II, Prevnar-13, ProQuad, Tdvax, Tenivac Purpura [red/purple spots] Engerix-B, MMR-II, ProQuad Rash ActHIB, Adacel, Afluria, Bexero, Boostrix, Daptacel, DT, Fluarix, Flucelvax, Flulaval, FluMist, Fluzone, Hiberix, Infanrix, IPOL, MMR-II, Pediarix, Pentacel, Pneumovax-23, Prevnar-13, Quadracel, Tdvax, Tenivac Skin discoloration Pentacel Skin induration MMR-II, ProQuad Stevens-Johnson syndrome [severe skin reaction] Engerix-B, Fluarix, Fluzone, MMR-II, ProQuad, Recombivax, Varivax Urticaria* [hives] ActHIB, Adacel, Afluria, Boostrix, DT, Engerix-B, Fluarix, Flucelvax, Flulaval, FluMist, Fluzone, Hiberix, Infanrix, IPOL, Kinrix, MMR-II, Pediarix, Pentacel, Pneumovax-23, Prevnar-13, Quadracel, Recombivax, RotaTeq, Tenivac, Twinrix Vesiculation MMR-II Vascular (8) Cerebrovascular accident ProQuad, Varivax Flushing Flulaval, Fluzone Henoch-Schönlein purpura [blood vessel inflammation] Boostrix, Fluarix, MMR-II, ProQuad, Varivax Pallor DT, Flulaval, Hiberix, Pediarix, Pentacel, Prevnar-13, Quadracel Petechiae [bleeding capillaries] Pediarix, Recombivax Polyarteritis nodosa [damaged arteries] Recombivax Renal vasculitis Afluria Vasculitis Afluria, Engerix-B, Fluarix, Fluzone, Havrix, MMR-II, Recombivax, Twinrix Urogenital (2) Epididymitis [testicular inflammation] MMR-II, ProQuad Orchitis [inflammation of the testes] MMR-II, ProQuad

*There are several things to note about the information presented in Table 2. First, while we used the verbatim insert terminology for each disorder and also largely stuck to the disease groupings in the package inserts, we added two categories—allergic and autoimmune disorders—that the inserts surprisingly omit. (The package inserts lump allergic reactions in with “immune system disorders.”) Second, there are a number of disorders that fit in more than one category; in those instances, we have included them (with an asterisk*) in both places (while counting them once). Third, the table only includes those adverse events that manufacturers decided to report in the inserts—but other adverse events are not only possible but likely, due to the widespread problem of underreporting. Notably, none of the package inserts include any mention of prevalent, childhood-onset neurodevelopmental disorders like tics or autism that published, peer-reviewed studies have linked to vaccines.

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