Appendix
III
National Childhood Vaccine Injury Act Reporting and Compensation Tablesa
Vaccine
Adverse Event and Interval From Vaccination to Onset of Event
For Reportingb For Compensationc
I. Tetanus toxoid-containing vaccines in any
combination (eg, DTaP, DTaP-IPV, DTaP-IPV/
Hib, DTP, DTP-Hib, Tdap, DT, Td, or TT)
A. Anaphylaxis or anaphylactic shock (7 days)
B. Brachial neuritis (28 days)
C. Any acute complication or sequela, including
death, of above events that occurred within
the time period prescribed (No applicable
time interval)
D. Events described in manufacturer’s package
insert as contraindications to the vaccine (See
package insert)
A. Anaphylaxis or anaphylactic shock
(4 hours)
B. Brachial neuritis (2–28 days)
C. Any acute complication or sequela,
including death, of above events
that occurred within the time
period prescribed (No applicable
time interval)
II. Pertussis antigen-containing v accines in any
combination (eg, DTaP, DTaP-IPV, DTaP-IPV/
Hib, DTP, P, DTP-Hib)
A. Anaphylaxis or anaphylactic shock (7 days)
B. Encephalopathy or encephalitis (7 days)
C. Any acute complication or sequela, including
death, of above events that occurred within
the time period prescribed (No applicable
time interval)
D. Events described in manufacturer’s package
insert as contraindications to the vaccine
(See package insert)
A. Anaphylaxis or anaphylactic shock
(4 hours)
B. Encephalopathy or encephalitis
(72 hours)
C. Any acute complication or sequela,
including death, of above events
that occurred within the time
period prescribed (No applicable
time interval)
III. Measles, mumps, and rubella virus-containing
vaccines in any combination (eg, MMR, MMRV,
MR, M, R)
A. Anaphylaxis or anaphylactic shock (7 days)
B. Encephalopathy or encephalitis (15 days)
C. Any acute complication or sequela, including
death, of above events that occurred within
the time period prescribed (No applicable
time interval)
D. Events described in manufacturer’s package
insert as contraindications to the vaccine
(See package insert)
A. Anaphylaxis or anaphylactic shock
(4 hours)
B. Encephalopathy or encephalitis
(5–15 days)
C. Any acute complication or sequela,
including death, of above events
that occurred within the time
period prescribed (No applicable
time interval)
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