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Medical Analysis Update: VICP

Medical Analysis Update: VICP. Advisory Commission on Childhood Vaccines June 10-11, 2010 Rosemary Johann-Liang, MD Rjohann-liang@hrsa.gov. Number of Petitions for Medical Analysis 5 year period: FY 2005-2009. Claims filed to VICP Comparing %age-bands 10 years apart.

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Medical Analysis Update: VICP

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  1. Medical Analysis Update: VICP Advisory Commission on Childhood Vaccines June 10-11, 2010 Rosemary Johann-Liang, MD Rjohann-liang@hrsa.gov

  2. Number of Petitions for Medical Analysis 5 year period: FY 2005-2009

  3. Claims filed to VICPComparing %age-bands 10 years apart

  4. FY 2009 Claims Filed to VICP

  5. FY 2010 8 months so far N=498 reports total N=155 are activated autism reviews 2010 Medical (MO) Reviews: New Reports

  6. 3/10-5/10 MO Reviews: Age

  7. 3/10-5/10 MO Reviews: Vaccines Alleged (non-autism)

  8. 3/10-5/10 MO Reviews: Adverse Events (non-autism)

  9. HPV Claim: Demographics • Total # of claims thus far since 2008 = 54 with 5 death claims • Average age = 16.5 years for all female claims with range (12 – 27 yrs) • Only one male claim (age over 50 years). • 39% had HPV x 1; 32% had HPV x 2 and 29% had HPV x 3 • 16% of total had other concurrent vaccines (meningococcal, hepatitis A, hepatitis B, and Tetanus-containing)

  10. HPV MO Reviews On-going: Injuries Claimed

  11. Shoulder Injury Case Series • Bodor M and Montalvo E. Vaccination-related shoulder dysfunction; Vaccine 25 (2007) 585-587 • Case reports of 2 patients; pain within 2 days following vaccination; injection too high on shoulder? • Medical Analysis of VICP Claims from 2006-2009; 11 claims identified with significant shoulder pain and dysfunction following vaccine administration

  12. Shoulder Series: Initial Analyses • 82% female; Mean age = 52 (range 29-83) • Vaccine Administered; 64% influenza; 36% tetanus-containing • Pain onset is less than 24 hrs in 91% from vaccine administration with 64% recalling immediate symptom onset. • Diagnoses: bursitis, rotator cuff injury, adhesive capsulitis • Concern: long-term sequelae • Concern: where and how administered

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