title: [Suspected vaccination complications or atypical vaccination course. Diagnostic assessment of 58 vaccine recipients].
abstract: The "list of recommended vaccinations" of the regional Ministries of Health is the legal basis for routine vaccination programmes in each region of Germany; the recommendations of the Federal Commission on Vaccinations, "STIKO", are not legally binding. These programmes of the different regions provide legal grounds for determining claims for damage against a vaccinating doctor. In cases of damage, the Ministry of Health is liable for the damage to a patient caused by a recommended vaccination. Irrespective of these clear and comprehensive legal provisions, in case of an atypical course the patient is entitled to careful diagnosis of the complaint and appropriate medical treatment. However, later claims by the patient for damage can only be decided correctly if the necessary diagnostic data have been carefully collected at the acute stage of the disease. In our 58 patients suffering from atypical vaccination courses or suspected complications, we were able to show in each case that the symptoms are the result of interference by infectious diseases or that there was some other clear diagnosis; in no case did we find that the vaccination had caused disease or permanent damage.
authors.affiliation: Klinik und Poliklinik für Kindermedizin, Ernst-Moritz-Arndt-Universität Greifswald.
authors.forename: S
authors.initials: S
authors.lastname: Wiersbitzky
authors.forename: R
authors.initials: R
authors.lastname: Bruns
authors.forename: R
authors.initials: R
authors.lastname: Mentel
authors.forename: W
authors.initials: W
authors.lastname: Seidel
authors.forename: H
authors.initials: H
authors.lastname: Herrmann
authors.forename: C
authors.initials: C
authors.lastname: Burtzlaff
authors.forename: C
authors.initials: C
authors.lastname: Schröder
authors.forename: A
authors.initials: A
authors.lastname: Peters
authors.forename: H
authors.initials: H
authors.lastname: Wiersbitzky
mesh_terms: D000293:Adolescent; D000328:Adult; D001424:Bacterial Infections / Q000209:etiology; D001428:Bacterial Vaccines / Q000009:adverse effects*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D016365:Liability, Legal; D008297:Male; D008318:Malpractice / Q000331:legislation & jurisprudence*; D012307:Risk Factors; D014765:Viral Vaccines / Q000009:adverse effects*; D014777:Virus Diseases / Q000209:etiology
chemical_list: D001428:Bacterial Vaccines; D014765:Viral Vaccines
vernacular_title: Verdacht auf Impfkomplikationen oder atypischer Impfverlauf. Diagnostische Abklärung bei 58 Impflingen.