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From the 9/17/2021 release of VAERS data:

Found 2,908 cases where Patient Died and Vaccination Date from '2010-01-01' to '2020-12-31'



Case Details

This is page 10 out of 291

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VAERS ID: 413092 (history)  
Form: Version 1.0  
Age: 9.0  
Sex: Female  
Location: Nevada  
Vaccinated:2010-12-17
Onset:2010-12-18
   Days after vaccination:1
Submitted: 2010-12-18
   Days after onset:0
Entered: 2010-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR 713639DA / UNK LA / IM

Administered by: Other       Purchased by: Unknown
Symptoms: Cardiac arrest, Death, Respiratory arrest
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypersensitivity (broad), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-12-18
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: unknown manufacturer, report completed by ED doctor. Detailed vaccine information unavailable. Please contact family
Current Illness: uk
Preexisting Conditions: Sickle Cell
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: respiratory and cardiac arrest resulting in death


VAERS ID: 413215 (history)  
Form: Version 1.0  
Age: 5.0  
Sex: Female  
Location: Virginia  
Vaccinated:2010-11-01
Onset:2010-12-06
   Days after vaccination:35
Submitted: 2010-12-20
   Days after onset:14
Entered: 2010-12-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 501049P / 2 NS / IN

Administered by: Public       Purchased by: Public
Symptoms: Blindness, Death, Headache, Intensive care, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2010-12-16
   Days after onset: 10
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: VA10020

Write-up: On 12/6/10, developed fever & headache. Treated with Advil until 12/9/10; went to PMD; patient vomiting, 12/10/10, vision loss, adm. to E.R. 12/11/10, transferred to PICU. Expired 12/16/10.


VAERS ID: 413389 (history)  
Form: Version 1.0  
Age: 79.0  
Sex: Female  
Location: Alabama  
Vaccinated:2010-10-21
Onset:2010-11-23
   Days after vaccination:33
Submitted: 2010-12-21
   Days after onset:28
Entered: 2010-12-22
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U3730AA / UNK LA / UN

Administered by: Private       Purchased by: Unknown
Symptoms: Balance disorder, Bradyphrenia, Feeling abnormal, Gait disturbance, Irritability, Mobility decreased, Nausea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2016-01-17
   Days after onset: 1881
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Swelling~Pneumo (no brand name)~UN~0.00~Patient|Injection site mass~Pneumo (no brand name)~UN~0.00~Patient
Other Medications: Prednisone; blood pressure pill; Vitamin B12
Current Illness:
Preexisting Conditions: History of increased blood pressure, and temporal arteritis (3 years). Additionally, the patient reported that 5 years earlier she had experienced "swelling and a hard knot" following vaccination with pneumonia vaccine.
Allergies:
Diagnostic Lab Data:
CDC Split Type: 201007010

Write-up: This case was initially reported by a consumer, who is also the patient, on 15 December 2010. A 79-year-old female patient received an INFLUENZA VACCINE (manufacturer reported as "possibly Sanofi Pasteur", lot not reported) in the left arm on 22 November 2010. The patient had a history of increased blood pressure and temporal arteritis (for past 3 years); she had previously experienced swelling and a hard knot at the site of a pneumococcal vaccine, and had received numerous influenza vaccines in the past. Concomitant medications included prednisone, a blood pressure pill, and Vitamin B12 1000mg. According to the patient, approximately 6 hours post-vaccination she began experiencing fever, nausea, vomiting, and difficulty in moving. Approximately 12 hours post-vaccination, she had a fever of 103 degrees and was unable to get out of bed. She was seen by a physician the day after vaccination, at which time she complained of difficulty walking and "brain function problem", described as fuzziness, slow thinking process, and balance problems when walking. The patient noted that she had been seen by a "brain doctor". Outcome was not reported.


VAERS ID: 413591 (history)  
Form: Version 1.0  
Age: 0.18  
Sex: Male  
Location: Kentucky  
Vaccinated:2010-12-07
Onset:2010-12-14
   Days after vaccination:7
Submitted: 2010-12-15
   Days after onset:1
Entered: 2010-12-28
   Days after submission:13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B254BA / 1 LL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 1246Z / 1 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E87535 / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0982Z / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-12-14
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None; Late PNC (No PNC until 6 mo gestation); Had not been to MD until 2 mo of age.
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: None stated.


VAERS ID: 413664 (history)  
Form: Version 1.0  
Age: 88.0  
Sex: Male  
Location: Rhode Island  
Vaccinated:2010-11-03
Onset:2010-11-17
   Days after vaccination:14
Submitted: 2010-12-28
   Days after onset:41
Entered: 2010-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLULAVAL) / GLAXOSMITHKLINE BIOLOGICALS AFLLA622AA / UNK LA / UN

Administered by: Public       Purchased by: Other
Symptoms: Asthenia, Cerebrovascular accident, Death, Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-12-02
   Days after onset: 15
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE NOTED
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: No record available.
CDC Split Type:

Write-up: After 2 weeks SP immunization Resid - Began to c/o increased weakness & numbness. Sat -$g MD. Apt with MD. Started on neurontin 11/20. Sat on floor. L/T increased weakness. 11/21 -$g hosp with signs & sx of CVA.


VAERS ID: 413836 (history)  
Form: Version 1.0  
Age: 95.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2010-11-01
Onset:2010-12-20
   Days after vaccination:49
Submitted: 2011-01-02
   Days after onset:13
Entered: 2011-01-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain, Decreased appetite, Full blood count normal, Haemoglobin decreased, International normalised ratio decreased, Melaena, Nausea, Platelet count decreased, White blood cell count decreased
SMQs:, Acute pancreatitis (broad), Haematopoietic erythropenia (broad), Haematopoietic leukopenia (narrow), Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Systemic lupus erythematosus (broad), Retroperitoneal fibrosis (broad), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-01-07
   Days after onset: 18
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Lisinopril; Aspirin; Omeprazole; Diltiazem
Current Illness: None
Preexisting Conditions: Hypertension; Chronic kidney disease; Neurogenic bladder; Allergies: codeine, sulfa
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: May of 2010, CBC plt were normal. Dec of 2010, WBC count of 2.5 - hemoglobin = 7.0 - plt = 14 - no schistocystes or RBC fragments to suggest consumptive coagulopathy, no teardrop cells, plts appear nl, INR = 1.29. Patient complaining of melanic stools, abdominal pain, nauseam decreased appetite, for since December 20, 2010.


VAERS ID: 413868 (history)  
Form: Version 1.0  
Age: 70.0  
Sex: Male  
Location: New York  
Vaccinated:2010-07-09
Onset:0000-00-00
Submitted: 2010-12-28
Entered: 2011-01-03
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB711AA / 1 LA / IM
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0695Z / 1 LA / SC

Administered by: Private       Purchased by: Private
Symptoms: Death, Guillain-Barre syndrome
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-12-11
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Scleroderma
Allergies:
Diagnostic Lab Data: Au at hospital. Not available to me.
CDC Split Type:

Write-up: GUILLAIN BARRE Syndrome Dx 10/2010 by Dr. Tx at hospital.


VAERS ID: 413980 (history)  
Form: Version 1.0  
Age: 0.35  
Sex: Male  
Location: Louisiana  
Vaccinated:2010-12-16
Onset:2010-12-17
   Days after vaccination:1
Submitted: 2011-01-03
   Days after onset:17
Entered: 2011-01-04
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3739AA / 2 LL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 915065 / 2 LL / UN
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FB096A / 2 MO / PO

Administered by: Private       Purchased by: Unknown
Symptoms: Autopsy, Cardiac arrest, Death, Irritability
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Cardiomyopathy (broad), Respiratory failure (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-12-17
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: s/p repair of duodenal perforation
Allergies:
Diagnostic Lab Data: autopsy - grossly normal
CDC Split Type:

Write-up: Became fussy with feeds 24 hours after vaccines given then went into cardiac arrest.


VAERS ID: 414023 (history)  
Form: Version 1.0  
Age: 0.27  
Sex: Unknown  
Location: New Hampshire  
Vaccinated:2010-10-08
Onset:2010-10-27
   Days after vaccination:19
Submitted: 2011-01-04
   Days after onset:69
Entered: 2011-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB807CA / 2 RL / UN
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3670AA / 2 RL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E57643 / 2 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. D07962 / 2 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Death, Sudden infant death syndrome
SMQs:, Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-10-27
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: NH01042011

Write-up: Pt got birth dose of Hep B 7/31/10 SIDS baby.


VAERS ID: 414065 (history)  
Form: Version 1.0  
Age: 0.38  
Sex: Female  
Location: Ohio  
Vaccinated:2010-11-01
Onset:2010-11-16
   Days after vaccination:15
Submitted: 2011-01-05
   Days after onset:50
Entered: 2011-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS AC14B099BA / 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0524Z / 2 MO / PO

Administered by: Private       Purchased by: Other
Symptoms: Bacterial test negative, Brain oedema, Cardiac arrest, Computerised tomogram abnormal, Respiratory arrest, Scan brain, Viral test negative
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Hyponatraemia/SIADH (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (broad), Respiratory failure (narrow)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2010-11-17
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Patient was tested for viral and bacterial infections, all results were negative. CT showed significant swelling of the brain but no evidence of trauma or bleed.
CDC Split Type:

Write-up: Cessation of respiration, cardiac arrest


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