Officials: Smallpox Vaccine Didn't Kill Nurse

Nurses General Nursing

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officials: smallpox vaccine didn't kill nurse

wed march 26, 2003 02:14 pm et

by maggie fox, health and science correspondent

washington (reuters) - a maryland nurse who died after getting a smallpox vaccine suffered a heart attack, which suggests the shot did not kill her, health officials said on wednesday.

but officials at the centers for disease control and prevention put out a warning saying people with heart disease should not get the smallpox vaccine, just in case.

the nurse, who worked at a private maryland hospital, died on sunday in virginia. she got her smallpox immunization on march 18.

"the autopsy was conducted on tuesday and it indicates a heart attack was the cause of death," lucy caldwell of the virginia department of health said in a telephone interview.

this, said caldwell, suggests but does not prove that her death was not a side effect of the vaccine.

"we feel it certainly would not have been the primary cause. but additional tests will be conducted to rule out that it could have been a contributing factor," she said.

the nurse was one of seven female healthcare workers who developed heart symptoms after being vaccinated, said cdc head dr. julie gerberding.

"we have seven patients with what looks like coronary artery disease and two additional patients that have inflammatory conditions that have affected the heart," gerberding told reporters on tuesday night.

gerberding said she doubted any of the cases were caused by the smallpox vaccine but the cdc was being extra careful. she noted all the patients had heart disease to begin with.

"and that's why we cannot necessarily ascribe any relationship of vaccination to these events. it could be entirely coincidental. but until we know that for sure, we're taking this precautionary step," she said.

the cdc says more than 25,000 heath workers have received the smallpox vaccine. they will then be ready to vaccinate other health and emergency workers and police in case there is ever a smallpox attack.

the u.s. government hopes to vaccinate 450,000 health workers in this first phase of the program. half a million troops are also being vaccinated.

smallpox was eradicated in 1979 but the government fears iraq and other countries have developed smallpox for use as a biological weapon.

the vaccine can have severe side effects, mostly in young children and those with weak immune systems. in the past, it killed between one and two people per million who got the shot and made up to 52 extremely ill.

i hadn't heard about this yet? anyone else hear about this yet? :eek:

Specializes in Corrections, Psych, Med-Surg.

fab writes: "It would have...had it happened to seven male physicians."

You get right to the point!! Unfortunately, the newspapers have the notion of patriotism and volunteering for this vaccine mixed up together, and we continue to see articles expressing surprise that every hospital and every healthcare worker in the US hasn't already demanded to be vaccinated.

I have yet to see any information about an available lab test to determine whether someone who received it as a child remains protected, just a lot of guesswork that "maybe not after 10 years." Seems to me a lot of $$$ could be saved and a lot of worrying dispensed with should such a test be designed (or used, if we presently have one), instead of blindly and haphazardly giving out a very risky vaccine.

Specializes in ORTHOPAEDICS-CERTIFIED SINCE 89.

I heard about it briefly on Good Morning America this morning. I think Dr. Tim Robbins was the correspondent.

Specializes in Trauma,ER,CCU/OHU/Nsg Ed/Nsg Research.

Have you guys received your packet from the CDC about the vaccination yet? It has a good amount of info in it, as well as some gruesome pictures showing the different types of reaction. It made me not want to get the vaccine again.

Specializes in Critical Care,Recovery, ED.

No one should volunterr to take this vaccine until there is a case of smallpox in the world. The risks are just to great and evidently not fully appreciated.

Originally posted by ocankhe

No one should volunterr to take this vaccine until there is a case of smallpox in the world. The risks are just to great and evidently not fully appreciated.

Russia was working on smallpox, and it is believed that Iraq may have it as well. Since (in past years) defecting scientists say it is so, are you seriously suggesting we "wait" until the first case hits? The ONLY reason this is coming up is it is possibly in Saddam's/terrorist's orificenal.

Specializes in Hemodialysis, Home Health.

Yes. it's been on teh major networks the past couple days about the heart related issues, specifically. That people with cardiac concerns should not take the vaccine. Received the pamphlet from CDC as well ... pretty disturbing pics there, eh?

Specializes in Hemodialysis, Home Health.

Yes, it's been on the major networks the past couple days. Specifically stating the cardiac concerns, and those WITH should not take the vaccine.

Also received the CDC pamphlet.. pretty disturbing pics there, eh?

Specializes in ER, ICU, Corrections.

Even with the pictures that they show, I would wait until there was a reported case in my area since I am close to the point of not taking it (50 years old). I live out in no where Oregon and it would take a lot for that to get here, kind of like SARS. I don't want to die from a shot that I might not even need. just my two cents worth. :cool:

I recently spent about 100 hours poring over the CDC's (& other mainstream sources') smallpox information as I had been asked to transfer the info onto a CD-ROM learning program. The program is now complete and used to help teach those who will administer the vaccine, including those in the military. (I cannot give further details on this as it might be construed as advertising.)

I received the vaccine in 1971 before nursing school. It was followed by a serious, although local reaction that lasted 3 weeks and kept me away from work.

In the absence of a titer type test, the current recommendation is to repeat the vaccine if it was given more than five years ago. After spending so much learning about vaccination, I was actually rather dissuaded from revaccination in a non-emergency situation.

When there is a smallpox case in this country, we have an emergency situation and there are no contraindications for those in contact with the case as the benefits of vaccination outweight the dangers.

There was a thread about smallpox vaccination some weeks ago. The CDC site is easy to find, but the package received in the mail contains the same basic info.

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