Originally Posted by lokidoki
One, doctors are not saying that children can die or be severely damaged by vaccines. Doctors are not saying and pharma is not saying it!
Doctors and vaccine manufacturers do provide information to parents about the possible serious vax reactions, including death.
For doctors, this is mandated by federal law. Due to the National Childhood Vaccine Injury Act of 1986 (42 U.S.C. § 300aa–26) a doctor must provide patients or their caregivers information on the possible risks of vaccines:
“[E]ach health care provider who administers a vaccine set forth in the Vaccine Injury Table shall provide to the legal representatives of any child or to any other individual to whom such provider intends to administer such vaccine a copy of the information materials developed pursuant to subsection (a) of this section, supplemented with visual presentations or oral explanations, in appropriate cases. Such materials shall be provided prior to the administration of such vaccine.”
This information is in the form of the vaccine information sheets that peds hand out. This statute does not cover all childhood vaccines, but it does cover most. To comply with the law, VISs must be handed out before a vax is given.
It is also a requirement of the AAP’s clinical practice standards to provide “[e]ffective communication about vaccine benefits and risks
”. This is explained as meaning “Parents/guardians and patients are educated about the benefits and risks of vaccination in a culturally appropriate manner and in easy-to-understand language
”. So if a ped fails to do this, she is not meeting the basic standards of her profession.
In terms of the possibility of a fatal reaction from vaxes, almost all VISs have a statement such as the following or a slight variation of it:“A vaccine, like any medicine, could possibly cause serious problems, such as severe allergic reactions. The risk of [specific disease] vaccine causing serious harm, or death, is extremely small”
All VISs also have statements regarding possible serious vax reations that can cause severe damage. Such info is also found in the prescribing data and product inserts provided by “pharma”.
For M-M-R II, Merck includes the following as some of the possible or reported severe reactions: vasculitis, pancreatitis, diabetes, thrombocytopenia, anaphylaxis, encephalitis; encephalopathy, and (extremely rare) subacute sclerosing panencephalitis, pneumonia, pneumonitis, Stevens-Johnson syndrome, nerve deafness. Merck also includes this statement: “Death from various, and in some cases unknown, causes has been reported rarely following vaccination with measles, mumps, and rubella vaccines; however, a causal relationship has not been established in healthy individuals..
Here is some of the serious possible or reported reactions to Varivax, according to Merck: anaphylaxis, thrombocytopenia, encephalitis, cerebrovascular accident, transverse myelitis, Guillain-Barré syndrome, Bell's palsy, ataxia, non-febrile seizures, paresthesia, pharyngitis, pneumonia, pneumonitis, Stevens-Johnson syndrome, and Henoch-Schönlein purpura.
Sanofi Pasteur lists the following as possible or reported severe reactions to Daptacel: febrile convulsion, grand mal convulsion, partial seizures, hypotonic-hyporesponsive episode, anaphylaxis, cellulitis, cyanosis, meningitis, pneumonia, and sepsis. It also says, “Sudden Infant Death Syndrome (SIDS) has occurred in infants following administration of DTaP vaccines. By chance alone, some cases of SIDS can be expected to follow receipt of DTaP vaccines.
Death, disability, or hospitalization is a possibility with pretty much all of these listed reactions.
The CDC has a page about possible vaccine reactions. At the top, in a box with a colored background, it includes this statement: "Like any drug, vaccines are capable of causing serious problems, even death".
Peds hand out VISs (if not, they are breaking the law). If patients don't read VISs, there's not much peds can do.
And peds don't generally go over most the serious possible side-effects because they are so rare. For example, based on VAERS (for that that is worth), anaphylaxis, which is mentioned in VISs, is estimated to occur after Hep B vax in one out of every 600,000 vax doses. Here's another example: From 1963 to 1993, more than 240 million doses of the measles vax were administered in the US. Serious CNS reactions (e.g., encephalitis) were reported to VAERS with a frequency less than one per millon doses administered.
If I ran the world (and I'm still waiting to hear back on my application for this), VISs would be given out at the appointment before
the appointment at which the vax is administered. Giving someone a VIS before the vax is administred may not given that person enough time to read it. But folks would still probably not read the VIS. I also would mention some of the serious possible reactions to the parents before vax, such as anaphylaxis and seizures (the list would vary by vax). This is anecdotal, but the peds I worked with in my pediatric rotation in med school did this.
IMO, vaccine education is far below what it should be. Some of the blame rests with the CDC and FDA. Some belongs to HMOs and the resulting time pressures on some primary care docs such as peds. Peds also share the blame as some are extremely reluctant to acknowledge possible harm from vaxes, some think the VISs do it all, some don't want to "scare" parents about something that is unlikely to occur, and others (like in all professions) just ain't that good. Lastly, some is the fault of parents who do not read the VISs.
But to say that doctors and drug manufacturers do not provide information on serious vax reactions is incorrect.
Again, sorry this is so long.