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From the 6/11/2021 release of VAERS data:

Found 2,769 cases where Patient Died and Vaccination Date from '2010-01-01' to '2020-12-31'



Case Details

This is page 11 out of 277

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VAERS ID: 414074 (history)  
Form: Version 1.0  
Age: 0.34  
Sex: Male  
Location: Colorado  
Vaccinated:2010-08-09
Onset:2010-08-10
   Days after vaccination:1
Submitted: 2011-01-05
   Days after onset:148
Entered: 2011-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3614AA / 2 LL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBV833DA / 2 RL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E46124 / 2 RL / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-08-10
   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: No
Preexisting Conditions: gastroesophageal reflux treated with ranitidine
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Death


VAERS ID: 414096 (history)  
Form: Version 1.0  
Age: 0.97  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2010-12-30
Onset:2010-12-31
   Days after vaccination:1
Submitted: 2011-01-04
   Days after onset:4
Entered: 2011-01-05
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT3574CA / 2 RL / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-12-31
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Robinol; Hydrocortisone; Phenobarbital; KEPPRA; PREVACID; ATIVAN PRN; TYLENOL
Current Illness:
Preexisting Conditions: Holoprosencephaly; Diabetes Insipidus; seizure; adrenal insufficiency; FT
Allergies:
Diagnostic Lab Data: Coroner performing autopsy 1/4/11
CDC Split Type:

Write-up: Details unknown. I was notified by agency that pt expired 12/31/10.


VAERS ID: 414262 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Ohio  
Vaccinated:2011-01-03
Onset:2011-01-04
   Days after vaccination:1
Submitted: 2011-01-07
   Days after onset:3
Entered: 2011-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3668AA / 1 RL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E69593 / 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0508Z / 1 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Autopsy, Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-01-04
   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: Unknown
Current Illness: None recorded or verbalized by Mother.
Preexisting Conditions: None recorded or verbalized by Mother
Allergies:
Diagnostic Lab Data: Autopsy.
CDC Split Type:

Write-up: To ER. Deceased. Details unavailable. Coroners case. Autopsy performed. Information from Coroner - preliminary shows no cause of death.


VAERS ID: 414511 (history)  
Form: Version 1.0  
Age: 7.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2010-11-08
Onset:2010-12-19
   Days after vaccination:41
Submitted: 2011-01-11
   Days after onset:23
Entered: 2011-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 501013P / UNK NS / IN

Administered by: Private       Purchased by: Private
Symptoms: Acute disseminated encephalomyelitis, Coma, Confusional state, Death, Lumbar puncture, Nuclear magnetic resonance imaging, Pyrexia, Subacute sclerosing panencephalitis
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Demyelination (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-01-02
   Days after onset: 14
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 14 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Peg Infron; Isoprinosine
Current Illness: SSPE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI & LP at Clinic and Hospital
CDC Split Type:

Write-up: ADEM secondary to agency from administration of live virus flu vaccine to patient following interferon confusion, fever, coma, death. Contact hospital doctor for details.


VAERS ID: 414719 (history)  
Form: Version 1.0  
Age: 0.15  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2011-01-11
Onset:2011-01-12
   Days after vaccination:1
Submitted: 2011-01-14
   Days after onset:2
Entered: 2011-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3582AA / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0657Z / 2 RL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 914515 / 1 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FB110A / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Death, Irritability, Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-01-13
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: DIGOXIN; ASA; LASIX; POLYVISOL w/Iron
Current Illness: fussy per parents day before vaccines
Preexisting Conditions: Double outlet right ventricle; mitral atresia; pulmonary atresia; s/p aortopulmonary shunt 11/19/2010
Allergies:
Diagnostic Lab Data: Not available
CDC Split Type:

Write-up: Day after vaccines pt. sleepy, fussy. Two days after vaccines pt died.


VAERS ID: 414753 (history)  
Form: Version 1.0  
Age: 36.0  
Sex: Male  
Location: Utah  
Vaccinated:2010-12-13
Onset:2010-12-16
   Days after vaccination:3
Submitted: 2011-01-15
   Days after onset:30
Entered: 2011-01-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLULAVAL) / GLAXOSMITHKLINE BIOLOGICALS AFLLA595AA / UNK LA / IM

Administered by: Other       Purchased by: Private
Symptoms: Abdominal distension, Cardiac arrest, Death, Depressed level of consciousness, Dyspnoea, Headache, Hyperhidrosis, Increased bronchial secretion, Nasopharyngitis, Nausea, Pain, Pulse abnormal, Resuscitation, Ventricular fibrillation
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Respiratory failure (broad), Hypoglycaemia (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-12-20
   Days after onset: 4
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Fentanyl patch 100 mcg 1 patch every 2 days Oxycodone 30 mg 1 q 3 hrs prn pain Midodrine 10 mg 1 q d Captopril 12.5 mg 1/2 tab q 8 hrs Fludrocortisone 0.1 mg 1 q d Omeprazole 40 mg 1 q d Paxil 40 mg 1 q d Clonazepam 1 mg 1-2 q hs prn insomn
Current Illness: Cellulitis, abdomen, at PEG tube site. Afebrile
Preexisting Conditions: Chronic illnesses: Muscular Dystrophy, Limb girdle type Quadriplegia Dysphagia requiring feeding tube Chronic respiratory failure requiring ventilator support. Chronic hypoxemia. Chronic right pleural effusion. History of recurrent pneumonia. Congestive heart failure Chronic pain requiring chronic Chronic anemia Chronic depression and anxiety
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 12/16/2010. Patient''s wife called to report that he developed nausea, headache, sweats, aching, cold two days ago (1 day after the flu vaccine was administered). On 12/15/10 he had more difficulty breathing but didn''t mention this on 12/16/10 although he still had body aches. I recommended that he receive ibuprofen 800 mg tid until the symptoms subsided. Go to ER for increased difficulty breathing. 12/20/10. Hospital ED physician called to report that patient was found by his wife in the morning to be difficult to arouse. His abdomen was distended and he had nausea with increased secretions. 911 was called. They found his pulse to be thready and while being transported to the ER went into ventricular fibrillation and then asystole. A full code was done in the ER but they were unable to resuscitate him and he died.


VAERS ID: 414974 (history)  
Form: Version 1.0  
Age: 76.0  
Sex: Male  
Location: Illinois  
Vaccinated:2010-09-22
Onset:2010-12-26
   Days after vaccination:95
Submitted: 2011-01-19
   Days after onset:24
Entered: 2011-01-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE) / SANOFI PASTEUR U3602AA / 1 LA / IM

Administered by: Other       Purchased by: Private
Symptoms: Death, Guillain-Barre syndrome, Malaise
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: 2011-01-06
   Days after onset: 11
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 11 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Per patients daughter, he developed Guillain Barre Syndrome. He fell ill on 12/26/2010, was admitted to Medical Center and passed away on 1/6/2011.


VAERS ID: 415383 (history)  
Form: Version 1.0  
Age: 0.18  
Sex: Female  
Location: Florida  
Vaccinated:2010-10-20
Onset:2010-10-21
   Days after vaccination:1
Submitted: 2011-01-25
   Days after onset:96
Entered: 2011-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3558AA / 1 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E44433 / 1 RL / IM

Administered by: Unknown       Purchased by: Public
Symptoms: Death, Inappropriate schedule of drug administration
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-10-21
   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: PREMI
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: NONE


VAERS ID: 415725 (history)  
Form: Version 1.0  
Age: 0.18  
Sex: Male  
Location: Indiana  
Vaccinated:2011-01-13
Onset:2011-01-16
   Days after vaccination:3
Submitted: 2011-01-21
   Days after onset:5
Entered: 2011-01-28
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3748AB / 1 RL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB833CA / 2 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 915192 / 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0526Z / 1 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Autopsy, Death, Respiratory arrest, Sudden infant death syndrome, Toxicologic test
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Neonatal disorders (narrow), Hypersensitivity (broad), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-01-16
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Clubfoot; tongue-tie
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt. received vaccinations at at 10:00am on 1-13-11 - no problems noted after receiving vaccinations. Infant found not breathing at 0930 on 1-16-11 by parents. Had been sleeping in car seat (not strapped in)- in living room. Unable to resuscitate. Pronounced dead at hospital. Autopsy listed cause of death SUIDS - Sudden Unexplained infant death. Awaiting toxicology reports/results.


VAERS ID: 416456 (history)  
Form: Version 1.0  
Age: 82.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2010-10-18
Onset:2010-11-20
   Days after vaccination:33
Submitted: 2011-02-09
   Days after onset:81
Entered: 2011-02-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT3579BA / UNK LA / IM

Administered by: Public       Purchased by: Other
Symptoms: Abasia, Electromyogram, Hypoaesthesia, Laboratory test, Lumbar puncture, Muscular weakness, Nuclear magnetic resonance imaging, Scan, X-ray
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 12 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Fish oil, Centrum silver, Baby aspirin, Decadron, Testosterone, folic acid, lasix, Nexium, Toprol-XL, Zocor, Ambien, Levaquin, Neurontin, Rephresh eyedrops, Colace Lortab, coumadin, IVIG
Current Illness: peripheral vascular disease
Preexisting Conditions: colon polyps, Benign prostatic hyperplasia, osteoarthritis, atherosclerotic peripheral vascular disease, history CVA, pituitary adenoma with right partial third nerve palsy, hyperlipidemia, hypertension, peripheral neuropathy, organic health disease with atrial fibrillation and cardiomegaly
Allergies:
Diagnostic Lab Data: Was sent to Nursing Home after discharge from hospital. MRI, scans, lumbar puncture, EMG, xray, lab
CDC Split Type:

Write-up: 6 wks after receiving the vaccine began having progressive weakness and numbness in legs and fingertips. Few days prior to admission to hosptial 1/26/2011 unable to walk.


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