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1992.00.00 :  Vaccine Injury Table

1992 Press Release (No Date)

    SUMMARY OF PROPOSED CHANGES TO THE VACCINE INJURY TABLE AND
 PROPOSED CHANGES TO THE QUALIFICATION AND AIDS TO INTERPRETATION 

For Diphtheria, Tetanus and Pertussis (DTP) vaccines and various
combinations, such as DT, Td or Tetanus Toxoid:

     o    The time for the onset of anaphylaxis/anaphylactic shock
          (a condition of hypersensitivity to proteins or other
          substances, caused by previous exposure, resulting in
          shock or other physical reactions) is narrowed.  To be
          eligible as a Table injury, the onset would have to occur
          within four hours of vaccination, instead of the earlier
          24 hours.

     o    Shock-collapse or hypotonic-hyporesponsive collapse is
          removed from the Table.  This is a "shock-like" condition
          that occurs infrequently with pertussis immunization, but
          is considered transient with no proven permanent
          complications.

     o    Residual seizure disorder is removed from the Table. 
          This is a seizure occurring within 72 hours of
          vaccination, followed by two more seizures within the
          next year, each with a documented fever less than 102
          degrees Fahrenheit.

For Measles, Mumps, Rubella (MMR) vaccines alone or in any
combination:

     o    Narrows the time for the onset of anaphylaxis or
          anaphylactic shock (see above for definition) from 24
          hours to four hours. 

     o    For residual seizure disorder, narrows the time for the
          initial post-vaccination seizure from zero-fifteen days
          to five-15 days.

For Measles, Mumps, Rubella (MMR), Measles, Rubella (MR) or Rubella
vaccines only:

     o    Adds chronic arthritis to the Table, with the onset of
          signs within 42 days of vaccination with a vaccine
          containing rubella.

For Inactivated Polio Vaccine (IPV):

     o    Narrows the time for onset of anaphylaxis/anaphylactic
          shock from 24 hours to four hours.

PROPOSED CHANGES TO THE QUALIFICATION AND AIDS TO INTERPRETATION

     o    The definition for anaphylaxis and anaphylactic shock is
          added.

     o    Definitions for infantile spasms and sudden infant death
          syndrome (SIDS) are added with language specifying them
          as conditions not covered under the Table.

     o    Clarifies the definition of encephalopathy by:

          -Defining acute encephalopathy by age group--less than 
          24 months old versus 24 months old or older

          -Defining chronic encephalopathy, which must follow the 
          acute encephalopathy and continue for more than six 
          months.

          -Specifying the clinical signs that are not consistent 
          with acute encephalopathy.

     o    Clarifies the definition of residual seizure disorder by:

          -Specifying that the two additional post-vaccination
          afebrile seizures required over the next 12 months be 
          separated in time by at least 24 hours.

          -Changing the temperature standard for defining
          "afebrile" from 102 degrees Fahrenheit to 101 degrees 
          Fahrenheit rectally and 100 degrees Fahrenheit orally.

     o    Adds criteria for the diagnosis of chronic arthritis,
          including guidelines for the onset and continued signs of
          both acute and chronic arthritis following vaccination
          with a vaccine containing rubella.  The Aids to
          Interpretation will contain a list of non-vaccine related
          musculoskeletal disorders that would be considered
          conditions not related to vaccine injury.

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