From the 12/30/2020 release of VAERS data:

Found 8,649 cases where Patient Died

This is page 10 out of 865

VAERS ID: 28073 (history)   Form: Version 1.0   Age: 0.2   Sex: Female   Location: Arizona   Vaccinated: 1990-12-19 Onset: 1990-12-22    Days after vaccination: 3 Submitted: 1990-12-26    Days after onset: 4 Entered: 1991-02-12    Days after submission: 48 Vaccin­ation / Manu­facturer Lot / Dose Site / Route DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0F11081 / 1 LL / IM HIBV: HIB (HIBTITER) / PFIZER/WYETH M190FO / 1 RL / IM OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 291938 / 1 MO / PO Administered by: Private       Purchased by: Private Symptoms: Sudden infant death syndrome SMQs:, Neonatal disorders (narrow) Life Threatening? No Birth Defect? No Died? Yes    Date died: 1990-12-22    Days after onset: 0 Permanent Disability? No Recovered? No Office Visit? No ER Visit? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: In sister; high fever; DTP/OPV; 1 dose.~ ()~~~In Sibling Other Medications: None Current Illness: None Preexisting Conditions: Resolved otitis media Allergies: Diagnostic Lab Data: Autopsy consistent with SIDS. CDC Split Type: Write-up: Baby found dead in crib early in tha AM on 22DEC90; Sudden Infant Death Syndrome.

VAERS ID: 28546 (history)   Form: Version 1.0   Age: 3.0   Sex: Male   Location: D.C.   Vaccinated: 1990-05-24 Onset: 1990-05-26    Days after vaccination: 2 Submitted: 0000-00-00 Entered: 1991-02-12 Vaccin­ation / Manu­facturer Lot / Dose Site / Route HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 8L01023 / UNK RA / - Administered by: Unknown       Purchased by: Unknown Symptoms: Infection, Meningitis SMQs:, Noninfectious meningitis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad) Life Threatening? No Birth Defect? No Died? Yes    Date died: 0000-00-00 Permanent Disability? No Recovered? No Office Visit? No ER Visit? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: not available Allergies: Diagnostic Lab Data: not available CDC Split Type: CO3506 Write-up: Pt died; Meningococcal meningitis; Culture proven Neissera;

VAERS ID: 28091 (history)   Form: Version 1.0   Age: 0.2   Sex: Male   Location: Virginia   Vaccinated: 1990-10-09 Onset: 1990-10-09    Days after vaccination: 0 Submitted: 1991-02-07    Days after onset: 121 Entered: 1991-02-14    Days after submission: 7 Vaccin­ation / Manu­facturer Lot / Dose Site / Route DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 283914 / 1 RL / - Administered by: Private       Purchased by: Private Symptoms: Sudden infant death syndrome, Vomiting SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Neonatal disorders (narrow) Life Threatening? No Birth Defect? No Died? Yes    Date died: 1990-10-14    Days after onset: 5 Permanent Disability? No Recovered? No Office Visit? No ER Visit? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: ~ ()~~~In patient Other Medications: Tylenol Current Illness: None Preexisting Conditions: lt congenital hip dysplasia Allergies: Diagnostic Lab Data: Cause of death SIDS - no autopsy performed. CDC Split Type: Write-up: Died 5 days p/1st DTP vax; Noticed spitting-up increased p/vax.

VAERS ID: 28321 (history)   Form: Version 1.0   Age: 0.3   Sex: Male   Location: Oregon   Vaccinated: 1991-02-05 Onset: 1991-02-06    Days after vaccination: 1 Submitted: 1991-02-07    Days after onset: 1 Entered: 1991-02-15    Days after submission: 8 Vaccin­ation / Manu­facturer Lot / Dose Site / Route DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 285918 / 1 LL / - HIBV: HIB (HIBTITER) / PFIZER/WYETH M200FE / 1 LL / - OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 291938 / 1 MO / PO Administered by: Private       Purchased by: Private Symptoms: Sudden infant death syndrome SMQs:, Neonatal disorders (narrow) Life Threatening? No Birth Defect? No Died? Yes    Date died: 1991-02-06    Days after onset: 0 Permanent Disability? No Recovered? No Office Visit? No ER Visit? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: ~ ()~~~In patient Other Medications: Tylenol poss. Current Illness: None Preexisting Conditions: None Allergies: Diagnostic Lab Data: Autopsy-$g no cause found CDC Split Type: Write-up: sids death 16-24 hrs /p administration of imm.

VAERS ID: 28327 (history)   Form: Version 1.0   Age: 1.2   Sex: Male   Location: Louisiana   Vaccinated: 1990-12-27 Onset: 1991-01-02    Days after vaccination: 6 Submitted: 1991-01-15    Days after onset: 13 Entered: 1991-02-15    Days after submission: 31 Vaccin­ation / Manu­facturer Lot / Dose Site / Route DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 275970 / 2 RL / IM OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 287954 / 2 MO / PO Administered by: Public       Purchased by: Public Symptoms: Agitation, Dehydration, Eye disorder, Pyrexia SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Corneal disorders (broad), Retinal disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (narrow) Life Threatening? No Birth Defect? No Died? Yes    Date died: 1991-01-02    Days after onset: 0 Permanent Disability? No Recovered? No Office Visit? No ER Visit? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: ~ ()~~~In patient Other Medications: Tylenol Current Illness: Preexisting Conditions: 26 wks preme, hx of hyaline membrane disease, sepsis, necrotizing enterocolitis /w small bowel resec, malabsorption, formula intolerance Allergies: Diagnostic Lab Data: CSF-clear, WBC-0, RBC-5, 0-Segs & Lymphs CDC Split Type: LA910203 Write-up: Mom noted listlessness & dark circles around eyes in am 2Jan, pt taken Hosp arrived @ 11am, found to have T 103, T escalating, pt died @ 1130 am, cause of death - dehydration, No fever noted @ time of Immun. to arrival @ hosp, no neuro S+S

VAERS ID: 28357 (history)   Form: Version 1.0   Age: 0.5   Sex: Male   Location: California   Vaccinated: 1991-01-28 Onset: 1991-01-31    Days after vaccination: 3 Submitted: 1991-02-13    Days after onset: 13 Entered: 1991-02-18    Days after submission: 5 Vaccin­ation / Manu­facturer Lot / Dose Site / Route DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 291931 / 3 RL / IM HIBV: HIB (HIBTITER) / PFIZER/WYETH M085FF / 2 LL / IM Administered by: Private       Purchased by: Private Symptoms: Lung disorder, Petechiae, Pulmonary oedema, Sudden infant death syndrome SMQs:, Cardiac failure (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Neonatal disorders (narrow) Life Threatening? No Birth Defect? No Died? Yes    Date died: 1991-01-31    Days after onset: 0 Permanent Disability? No Recovered? No Office Visit? No ER Visit? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: none~ ()~~~In patient Other Medications: none Current Illness: none Preexisting Conditions: none Allergies: Diagnostic Lab Data: autopsy underway- preliminary Dx- Sids CDC Split Type: Write-up: Pt found dead in crib am 31Jan91, pt asymptomatic prior to death.

VAERS ID: 28432 (history)   Form: Version 1.0   Age: 0.3   Sex: Male   Location: Connecticut   Vaccinated: 1991-01-15 Onset: 1991-01-15    Days after vaccination: 0 Submitted: 0000-00-00 Entered: 1991-02-25 Vaccin­ation / Manu­facturer Lot / Dose Site / Route DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 293948 / 2 LL / IM HIBV: HIB (HIBTITER) / PFIZER/WYETH M090FF / 1 RL / IM OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 287942 / 1 MO / PO Administered by: Public       Purchased by: Public Symptoms: Abdominal distension, Apnoea, Cardiac arrest, Infection, Lung disorder, Personality disorder, Pulmonary oedema SMQs:, Torsade de pointes/QT prolongation (broad), Cardiac failure (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (narrow), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Respiratory failure (narrow) Life Threatening? No Birth Defect? No Died? Yes    Date died: 1991-01-15    Days after onset: 0 Permanent Disability? No Recovered? No Office Visit? No ER Visit? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: no~ ()~~~In patient Other Medications: synthroid Current Illness: hypothyroidism, cranialsynostosis, herni Preexisting Conditions: hypothyroidism, cranialsynostosis, hernia repair X 2, bronchopulmanary dysplasia Allergies: Diagnostic Lab Data: blood drawn post immun-all normal, blood drawn in ER possible for alpha strep CDC Split Type: CT911 Write-up: pulmonary congestion & edema,bronchopulmonary dysplasia, Child not acting right all day, as per family, stopped breathing in front of mom, found in cardiac arrest by EMT who began CPR,pt found /w distended abdomen, decompressed manually

VAERS ID: 28514 (history)   Form: Version 1.0   Age: 0.2   Sex: Male   Location: Virginia   Vaccinated: 1989-12-14 Onset: 1989-12-15    Days after vaccination: 1 Submitted: 1991-02-25    Days after onset: 437 Entered: 1991-03-01    Days after submission: 4 Vaccin­ation / Manu­facturer Lot / Dose Site / Route DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 283914 / UNK - / - OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER 253938 / UNK - / - Administered by: Private       Purchased by: Other Symptoms: Agitation, Anorexia, Crying, Oedema, Pyrexia, Somnolence SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad) Life Threatening? No Birth Defect? No Died? Yes    Date died: 1989-12-23    Days after onset: 8 Permanent Disability? No Recovered? No Office Visit? No ER Visit? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: NA~ ()~~~In patient Other Medications: NA Current Illness: NONE Preexisting Conditions: NONE Allergies: Diagnostic Lab Data: CDC Split Type: Write-up: Swelling on leg, fever, excessive sleeping, high pitched crying episodes lasting over 2 hrs @ a time reluctant feeding.

VAERS ID: 28519 (history)   Form: Version 1.0   Age: 0.4   Sex: Male   Location: Illinois   Vaccinated: 1990-11-29 Onset: 1990-12-16    Days after vaccination: 17 Submitted: 1991-02-01    Days after onset: 47 Entered: 1991-03-01    Days after submission: 28 Vaccin­ation / Manu­facturer Lot / Dose Site / Route DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 283913 / 2 RL / IM OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 285949 / 2 MO / PO Administered by: Public       Purchased by: Public Symptoms: Sudden infant death syndrome SMQs:, Neonatal disorders (narrow) Life Threatening? No Birth Defect? No Died? Yes    Date died: 1990-12-16    Days after onset: 0 Permanent Disability? No Recovered? No Office Visit? No ER Visit? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: ~ ()~~~In patient Other Medications: NONE Current Illness: NONE Preexisting Conditions: NONE Allergies: Diagnostic Lab Data: CDC Split Type: IL913 Write-up: SIDS- 16DEC90.

VAERS ID: 28528 (history)   Form: Version 1.0   Age: 0.6   Sex: Male   Location: New Jersey   Vaccinated: 1991-02-18 Onset: 1991-02-18    Days after vaccination: 0 Submitted: 1991-02-19    Days after onset: 1 Entered: 1991-03-01    Days after submission: 10 Vaccin­ation / Manu­facturer Lot / Dose Site / Route DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0C21045 / 3 - / - HIBV: HIB (HIBTITER) / PFIZER/WYETH M635FN / 3 - / - Administered by: Private       Purchased by: Private Symptoms: Convulsion SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad) Life Threatening? No Birth Defect? No Died? Yes    Date died: 1991-02-18    Days after onset: 0 Permanent Disability? No Recovered? No Office Visit? No ER Visit? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: ~ ()~~~In patient Other Medications: Digoxin, aspirin Current Illness: Preexisting Conditions: Congental Heart Disease Allergies: Diagnostic Lab Data: CDC Split Type: CO3790 Write-up: Expired p/having sz. Occurred 5 hrs post vax.

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