Tag: vaccine injury table

A Guide to Evaluating Vaccine Information for Legislators

As new vaccine bills are proposed, our state legislators, few who are doctors, are often put in a unique position of making decisions that could affect whether or not our kids are at risk to get a vaccine preventable disease.

Does House Majority Leader Lee Qualm have any idea why we ever started to have school vaccination requirements?
Does House Majority Leader Lee Qualm have any idea why we ever started to have school vaccination requirements?

Yes at risk, since outbreaks of vaccine preventable diseases could certainly increase as some of these vaccine bills actually weaken existing vaccine laws.

A Guide to Evaluating Vaccine Information for Legislators

It is easy to see why some Legislators are looking to strengthen their state’s vaccine laws, as they had likely been seeing a rise in vaccine hesitancy, with a corresponding rise in outbreaks of vaccine preventable diseases.

But why would a Legislator want to make it easier for unvaccinated kids to go to school?

“I’m not opposed to vaccines, but I believe it should be up to the parents.”

South Dakota House Majority Leader Lee Qualm

When you hear them talk, it is easy to see that they have often been misled by the same misinformation and propaganda about vaccines that leads some vaccine hesitant parents to skip or delay their child’s vaccines.

If we see a COVID-19 pandemic, most of us will welcome a new vaccine to protect our families.
If we see a COVID-19 pandemic, most of us will welcome a new vaccine to protect our families.

This includes the ideas that:

Of course, none of these things we crossed out are true, but they are all ideas pushed by folks who lobby these politicians. These folks also push misinformation about mutant measles, herd immunity, untested vaccines, unavoidably unsafe vaccines, and that vaccines have never been tested for carcinogenic or mutagenic potential.

Who is educating your state legislators about vaccines?
Who is educating your state legislators about vaccines?

Unfortunately, a very vocal minority of parents who want to send their intentionally unvaccinated kids to school are getting extra attention in state houses because the great majority of parents who do vaccinate their kids don’t show up to advocate for vaccines.

Why not?

For many, it’s simply hard to believe that there are actually people out there fighting against vaccines!

It is easy to see why some Legislators might be tricked by slick anti-vaccine talking points in these meetings.
It is easy to see why some Legislators might be tricked by slick anti-vaccine talking points in these meetings.

As difficult as it might be, our Legislators need to be prepared when these folks come with their talking points against vaccines.

What about the rights of children who can’t be vaccinated and have true medical exemptions?

Otherwise we will end up with more bad vaccine bills that will put our kids at risk.

Pennachio and Testa want to opt out of the federal Vaccine Count and NVICP and recreate it on the state level???
Pennachio and Testa want to opt out of the federal Vaccine Count and NVICP and recreate it on the state level???

What’s wrong with these types of vaccine bills?

For one thing, they do nothing to make kids safer and they simply put extra steps in the way of getting kid vaccinated and protected.

Arizona state Sen. Paul Boyer told CNN he co-sponsored three of the bills after hearing from parents who said their children were hurt by vaccines. He felt the state was “not engaging in fully informed consent.”

Even with measles outbreaks across the US, at least 20 states have proposed anti-vaccination bills

Again, many simply echo talking points against vaccines about vaccine inserts (no one is hiding them…), liability, VAERS (information on reporting vaccine reactions is on every vaccine information sheet parents get), informed consent, and vaccine injury stories.

Lawrence Palevsky has been described as "an antivaccine pediatrician who’s an endless font of misinformation." Is this who your legislators are listening to?
Lawrence Palevsky has been described as “an antivaccine pediatrician who’s an endless font of misinformation.” Is this who your legislators are listening to?

And that’s not surprising, considering who gives these Legislators (mis)information about vaccines. Folks like Bobby Kennedy, Larry Palevsky, Ginger Taylor, Rita Palma, and the NVIC, etc., who also help to derail good vaccine bills.

“You don’t have to be a scientist or part of an organization to spread the word about the importance of immunizations. You can make an impact on vaccine-preventable diseases in your own community.”

Vaccinate Your Family – Make a Local Impact

We don’t have to let these folks them shape vaccine bills and policy though.

“A decision not to vaccinate is not just an individual decision. Because these diseases are spread from person to person, the decision to leave a child unvaccinated not only leaves that child susceptible to vaccine-preventable diseases, but permits the spread of those diseases to the surrounding community, including infants too young to be immunized and those suffering from immunodeficiency conditions.”

An Open Letter to Congress On Immunization Policy

Let your legislators know that you want strong vaccine laws that keep all of us protected from vaccine preventable diseases.

More on Vaccine Information for Legislators

What is SIRVA?

Vaccines are safe.

Of course, they aren’t 100% safe.

One possible problem though, SIRVA, isn’t necessarily caused by the vaccine itself, but how it is given.

Or more precisely, where it is given.

What is SIRVA?

SIRVA is an acronym for shoulder injury related to vaccine administration.

It can occur when a vaccine is injected into the underlying bursa of the shoulder joint, instead of the deltoid muscle, causing shoulder pain and limited range of motion.

“These symptoms are thought to occur as a result of unintended injection of vaccine antigen or trauma from the needle into and around the underlying bursa of the shoulder resulting in an inflammatory reaction. SIRVA is caused by an injury to the musculoskeletal structures of the shoulder (e.g. tendons, ligaments, bursae, etc.). SIRVA is not a neurological injury and abnormalities on neurological examination or nerve conduction studies (NCS) and/or electromyographic (EMG) studies would not support SIRVA as a diagnosis (even if the condition causing the neurological abnormality is not known).”

Vaccine Injury Table

Why would someone want to give you a vaccine in the shoulder joint?

They shouldn’t!

In addition to giving shots in the correct location, to prevent SIRVA, it is also important to use the proper needle length.
In addition to giving shots in the correct location, to prevent SIRVA, it is also important to use the proper needle length.

In older kids and adults, intramuscular injections are typically given “in the central and thickest portion of the deltoid muscle – above the level of the armpit and approximately 2–3 fingerbreadths (~2″) below the acromion process.”

Giving the shot properly can prevent SIRVA.
Giving the shot properly can prevent SIRVA, keeping in mind that you might use a 5/8 inch needle in younger children.

If the shot is given in the shoulder joint, then it was given too high, typically in the upper 1/3 of the deltoid muscle.

Improved education will hopefully decrease SIRVA cases, but tell your doctor and report your case to VAERS if you think you developed SIRVA within 48 hours of getting a vaccine in your upper arm.

As a table injury, folks with SIRVA can also get compensated under the National Childhood Vaccine Injury Act of 1986.

More on SIRVA

Understanding the Vaccine Injury Table

The Vaccine Injury Table was created by the National Childhood Vaccine Injury Act of 1986.

“The Table makes it easier for some people to get compensation. The Table lists and explains injuries/conditions that are presumed to be caused by vaccines. It also lists time periods in which the first symptom of these injuries/conditions must occur after receiving the vaccine. If the first symptom of these injuries/conditions occurs within the listed time periods, it is presumed that the vaccine was the cause of the injury or condition unless another cause is found.”

What You Need to Know about the National Vaccine Injury Compensation Program

A table injury is an illness, disability, injury or condition covered by the National Vaccine Injury Compensation Program.

“For example, if you received the tetanus vaccine and had a severe allergic reaction (anaphylaxis) within 4 hours after receiving the vaccine, then it is presumed that the tetanus vaccine caused the injury if no other cause is found.”

What You Need to Know about the National Vaccine Injury Compensation Program

To quality as a table injury, the illness, disability, injury or condition has to occur within a specific “time period for first symptom or manifestation of onset or of significant aggravation after vaccine administration.”

Understanding the Vaccine Injury Table

So if there is a Vaccine Injury Table, then that proves that vaccine injuries are real, right?

The Vaccine Injury Table is easier to understand if you actually look at the table.
The Vaccine Injury Table is easier to understand if you actually look at the table.

Wait, does anyone dispute that vaccine injuries are real?

No one says that vaccines are 100% safe, so yes, of course, it is known that they have risks and cause adverse effects. While most of these adverse effects are usually mild, they can rarely be severe or even life threatening.

The idea the vaccine injuries are common is what is misunderstood and misrepresented by anti-vaccine folks.

It's no joke, studies have shown fewer side effects after the second dose of MMR!
It’s no joke, studies have shown fewer side effects after the second dose of MMR!

Consider the above post by Bob Sears

Yes chronic arthritis after a rubella containing vaccine is a table injury, but it is very rare. Arthritis after the rubella vaccine is typically mild and temporary, lasting just a few days.

While rubella containing vaccines can cause arthritis, they do not cause lifelong rheumatoid arthritis. So even if you were to be one of the very rare people who developed chronic arthritis after a rubella containing vaccine, a table injury, it would still not be the same thing as rheumatoid arthritis.

“The association between rubella vaccination and chronic arthritis is less clear. Most recently published research, has shown no increased risk of chronic arthropathies among women receiving RA27/3 rubella vaccine and do not support the conclusion of the IOM (Slater et al., 1995; Frenkel et al., 1996; Ray et al., 1997). These studies have included a large retrospective cohort analysis which showed no evidence of any increased risk of new onset chronic arthropathies and a double-blind historical cohort study. One randomised placebo-controlled, double-blind study of rubella vaccination in sero-negative women demonstrated that the frequency of chronic (recurrent) arthralgia or arthritis was marginally increased (1.58 [1.01-2.45], p = 0.042) (Tingle et al., 1997). In 2011, the United States Institute of Medicine (IOM) reviewed available research and concluded that the evidence is inadequate to accept or reject a causal relationship between MMR vaccine and chronic arthralgia in women.”

Information Sheet Observed Rate of Vaccine Reactions Measles, Mumps and Rubella Vaccines

And it wouldn’t even be clear if your chronic arthritis was caused by the vaccine!

“The Table lists and explains injuries and/or conditions that are presumed to be caused by vaccines unless another cause is proven.”

What You Need to Know about the National Vaccine Injury Compensation Program

To be added to the Vaccine Injury Table, there only has to be scientific evidence that a condition could be caused by a vaccine.

“Where there is credible scientific and medical evidence both to support and to reject a proposed change (addition or deletion) to the Table, the change should, whenever possible, be made to the benefit of petitioners.”

Guiding Principles for Recommending Changes to the Vaccine Injury Table

That makes sense, as the NVICP is a “is a no-fault alternative to the traditional legal system for resolving vaccine injury petitions” for VICP-covered vaccines.

Vaccines Covered by the Vaccine Injury Table

Most routinely used vaccines are covered by the Vaccine Injury Table, including vaccines that protect against:

  • diphtheria, tetanus, and pertussis – DTaP, Tdap, Td
  • measles, mumps, and rubella – MMR, ProQuad
  • chickenpox – Varivax, ProQuad
  • polio – IPV, OPV
  • hepatitis B
  • hepatitis A
  • Hib
  • rotavirus
  • pneumococcal disease – Prevnar
  • influenza – seasonal flu vaccines
  • meningococcal disease – MCV4, MenB
  • human papillomavirus – HPV4, HPV9

In fact, “any new vaccine recommended by the Centers for Disease Control and Prevention for routine administration to children, after publication by the Secretary of a notice of coverage” is automatically included, at least for Shoulder Injury Related to Vaccine Administration and vasovagal syncope.

New vaccines are also covered if they are already “under a category of vaccines covered by the VICP.”

Immunizations given to pregnant women are also covered.

A few others, including vaccines that protect against pandemic flu, smallpox, and anthrax are covered by the Countermeasures Injury Compensation Program (CICP).

Vaccines Not Covered by the Vaccine Injury Table

What about vaccines that aren’t routine?

Other vaccines that are used in special situations, including vaccines that protect against rabies, yellow fever, Japanese encephalitis, cholera, and typhoid aren’t listed in the Vaccine Injury Table and aren’t covered by the National Vaccine Injury Compensation Program.

Have you seen any TV ads for lawsuits against the shingles vaccine, which isn't in the vaccine injury table.
Have you seen any TV ads for lawsuits against the first shingles vaccine?

Shingles vaccines and the older pneumococcal vaccine, Pneumovax, aren’t covered either.

And since they are not covered by the National Vaccine Injury Compensation Program, there are no restrictions on lawsuits against the manufacturers of these vaccines or the health providers who administer them.

So much for the idea that you can’t sue a vaccine manufacturer or that vaccine manufacturers have no liability for vaccines…

Why weren’t these vaccines covered?

Remember, the NVICP and Vaccine Injury Table were created by the National Childhood Vaccine Injury Act of 1986. The vaccines that aren’t covered are not on the routine childhood immunization schedule.

“There are no age restrictions on who may receive compensation in the VICP. Petitions may be filed on behalf of infants, children and adolescents, or by adults receiving VICP-covered vaccines.”

National Vaccine Injury Compensation Program Frequently Asked Questions

Still, since many of the covered vaccines can be given to adults, they are included, even if some of the vaccines adults routinely get aren’t covered.

Will they ever be covered?

“They found a low liability burden for these vaccines, that serious adverse events were rare, and that no consensus existed among stakeholders. After considering the staff report, NVAC chose, in 1996, not to advise the Department of Health and Human Services to include adult vaccines in VICP.”

Loyd-Puryear et al on Should the vaccine injury compensation program be expanded to cover adults?

Adding more adult vaccines to the Vaccine Injury Compensation Program (VICP) is something that has been looked at in the past, but it wasn’t thought to be necessary.

What to Know About the Vaccine Injury Table

The Vaccine Injury Table is a list of conditions set up to make it easier for people to get compensated from the National Vaccine Injury Compensation Program.

More on Understanding the Vaccine Injury Table