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From the 10/8/2021 release of VAERS data:

Found 3,102 cases where Patient Died and Vaccination Date from '2007-08-01' to '2020-11-30'



Case Details

This is page 12 out of 311

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VAERS ID: 311463 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Male  
Location: Idaho  
Vaccinated:2008-03-31
Onset:2008-04-24
   Days after vaccination:24
Submitted: 2008-04-29
   Days after onset:5
Entered: 2008-05-02
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B138BA / 2 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08702C / 3 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0509U / 3 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: 2008-04-24
   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: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: This child had his last set of immunizations on 3-31-08. He did not have any reactions. He died of SIDS on 4-24-08. 6/13 Autopsy report states COD as sudden unexplained death in infancy. Report also states patient had petechiae of thymus & visceral surfaces of lungs; no evidence of injury; normal growth parameters; neg metabolic screen; no evidence of aspiration. Had been placed in crib on back w/propped bottle. Found unresponsive.


VAERS ID: 311686 (history)  
Form: Version 1.0  
Age: 68.0  
Sex: Male  
Location: Unknown  
Vaccinated:2007-12-18
Onset:2008-03-05
   Days after vaccination:78
Submitted: 2008-05-05
   Days after onset:60
Entered: 2008-05-06
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. - / UNK UN / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms:
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-03-05
   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: diabetes; benign prostatic hyperplasia and hyperlipidaemia
Preexisting Conditions: myocardial infraction (1996) and cataract operation
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0804USC00103

Write-up: Information has been received from an investigator concerning a 68 year old male with diabetes, benign prostatic hyperplasia and hyperlipidaemia and a history of myocardial infarction (1996) and cataract operation who entered a study, title as stated above. On 18-DEC-2007 the patient was vaccinated with blinded therapy. On 08-MAR-2008 the patient died. The cause of death was unknown. At this time, relationship of death to study therapy is unknown. The records for this patient was unblinded on 01-MAY-2008. The patient was treated with Zostavax (Oka/Merck) 0.65 ml. Additional information has been requested. 5/7/08-record received Cause of Death: Cardiac insufficiency. Diabetes. Hypertension


VAERS ID: 311791 (history)  
Form: Version 1.0  
Age: 83.0  
Sex: Female  
Location: Unknown  
Vaccinated:2008-02-14
Onset:2008-02-20
   Days after vaccination:6
Submitted: 2008-05-06
   Days after onset:75
Entered: 2008-05-07
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. - / UNK UN / SC

Administered by: Other       Purchased by: Other
Symptoms: Death, Herpes zoster, Pneumonia
SMQs:, Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-04-12
   Days after onset: 51
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: ZOVIRAX; Clorazepate dipotassium
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0804USA06377

Write-up: Information has been received from a nurse practitioner concerning an 83 year old female consumer who on 14-FEB-2008 was vaccinated SQ with a 0.65ml of ZOSTAVAX. Concomitant therapy included acyclovir (ZOVIRAX) and clorazepate dipotassium. Subsequently, on 20-FEB-2008, the patient developed shingles. Unspecified medical attention was sought. It was unspecified if lab studies were performed. It was reported that the patient was treated for shingles (treatment regimen not reported) and made a full recovery. It was also reported that the patient went on vacation and when she returned from vacation she developed pneumonia and died on 12-APR-2008. There was no product quality complaint involved. The cause of death was pneumonia. The nurse practitioner considered the event to be disabling. Additional information has been requested.


VAERS ID: 311987 (history)  
Form: Version 1.0  
Age: 57.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2007-10-16
Onset:2007-11-18
   Days after vaccination:33
Submitted: 2008-05-09
   Days after onset:172
Entered: 2008-05-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / NOVARTIS VACCINES AND DIAGNOSTICS 80685 / 3 LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Blindness, Death, General physical health deterioration
SMQs:, Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-01-21
   Days after onset: 64
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 19 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: none
Preexisting Conditions: none PMH: cranial atherosclerosis, distant history of melanoma excised 15 yrs ago; erectile dysfunction; DJD. Bell''s palsy s/p swine flu shot, resolved. Tennis elbow/bursitis, resolved. Dysuria. Diabetes.
Allergies:
Diagnostic Lab Data: unknown LABS: MRI of orbits revealed bilateral optic nerve enhancement (prechiasmal). Sed rate, CRP, ANA & CBC WNL.
CDC Split Type:

Write-up: information is a verbal report from spouse, onset of illness 32 days after vaccination, treated by primary care MD, thought he had a virus, became blind by 11/21/07, continued deterioration to death. Autospy preformed: found patient had a demylinating process as cause of death. 05/27/08 Autopsy report reviewed which states COD as presumed acute pneumonia (autopsy limited to examination of brain). Report also states clinical hx of acute respiratory failure, febrile illness & staph aureus & e.coli dx on bronchoalveolar lavage 1/14/08. Other contributing conditions included: acute aggressive multifocal demyelinating disease w/white matter lesions multiple areas of the brain including previous biopsy sites & cervical spinal cord; cerebral atrophy & edema. 9/26/08 Reviewed hospital medical records of 1/3-/-19/2008. FINAL DX: multiple CNS lesions w/gadolinium-enhancing CNS lesions; myalgia; hypoxic respiratory failure; dysphagia; poor oral intake; nutrition; possible pneumonia; prophylaxis. Records reveal patient experienced re-admission for brain biopsy which revealed acute demyelinating process. Failed high dose steroids & plasma exchange. Tx w/mitoxantrone treatment & second course of high dose steroids in ICU. Mental & respiratory status deteriorated, significant muscle spasms & pain. Mechanical ventilation. Brain lesions continued to grow & new lesions appeared. Developed decerebrate posturing. Comfort care only decided & transferred to hospital closer to family home. 5/23/08 Reviewed initial eye clinic records of 11/29-11/30/2007 FINAL DX: probable retrobulbar ischemic ACON. Records reveal patient experienced HA x 3 days & blurred vision x 1 day. Patient had viral infection w/fever approx 10 days prior & still has sore eyes & stiff neck. Referred to neuro-ophthal. 6/6/08 Reviewed neuro-optho medical records for 11/30-12/2/2007. FINAL DX: bilateral optic neuritis Records reveal patient seen in clinic 11/30 emergently & admitted to hospital same day. Had used Cialis & noted difficulty reading next AM w/HA. Then developed blurry vision, decreased vision & pain over 3 days. Exam revealed visual acuity hand motion in right eye & 4/200 left eye, IOP WNL, no ptosis, slit lamp WNL, fundus w/1(+) edema of right optic nerve & trace edema left optic nerve. Admitted for stat MRI & IV steroids. No improvement & D/C to home on continued tapering steroids. 7/4/08 Reviewed hospital medical records of 11/30-12/02/2007 which were previously included in clinic records. FINAL DX: bilateral optic neuritis


VAERS ID: 312251 (history)  
Form: Version 1.0  
Age: 78.0  
Sex: Unknown  
Location: Pennsylvania  
Vaccinated:2008-01-07
Onset:2008-02-05
   Days after vaccination:29
Submitted: 2008-05-13
   Days after onset:97
Entered: 2008-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Chronic obstructive pulmonary disease, Condition aggravated
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-02-10
   Days after onset: 5
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: COPD
Preexisting Conditions: PMH: Emphysema/COPD, HTN, hypercholesterolemia, basal cell carcinoma. NKDA. Past hx of smoking-quit 2001.
Allergies:
Diagnostic Lab Data: Labs and Diagnostics: Troponin 0.25, 1.14. Creatinine 1.9. BUN 39 up to 52. EKG sinus tach with PVCs. CBC with WBCs 5.9. Hgb initially 13.1 down to 11.1 CXR with no acute infiltrates (+) emphysematous changes. Stool hemoccult (+).
CDC Split Type:

Write-up: Subject in pneumococcal vaccine trial, with severe COPD, was hospitalized for COPD exacerbation. Vaccination took place on 1/7/2008 and hospital admission was on 2/5/2008. According to the physician, relationship to treatment is ''None''. We would be happy to forward the Study''s SAE Report Form upon request. 5/19/2008 MR received for DOS 2/5-10/2008 with D/C DX: Non-ST segment elevation Myocardial Infarction. Acute on chronic respiratory failure. Acute on chronic renal failure. Atrial Fibrillation with rapid ventricular response. Acute Bronchitis. COPD. Gastrointestinal bleeding. Anemia. Hyperlipidemia. Pt presented to ER with 2 day hx of cough and fever with worsening shortness of breath with diaphoresis. Pt also had diarrhea 1 day prior to ER visit. On admission, troponin was (+). PE (+) for I&E wheezing and decreased breath sounds. Pt developed atrial fib, GI bleeding, and acute on chronic renal failure during hospitalization: multi-system organ failure. Transferred to hospice on 2/10/08 per pt request. Pt expired on 2/11/08.


VAERS ID: 312543 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Male  
Location: Oklahoma  
Vaccinated:2008-04-25
Onset:2008-04-27
   Days after vaccination:2
Submitted: 2008-05-15
   Days after onset:18
Entered: 2008-05-19
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0067U / 2 UN / UN

Administered by: Public       Purchased by: Unknown
Symptoms: Autopsy, Cyanosis, Respiratory arrest
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-04-27
   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: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Awaiting autopsy report performed 4/28/08 also r/o SIDS mother reports
CDC Split Type:

Write-up: 4/27/08 woke up wasn''t breathing- Blue called 911- Sheriff and paramedics. 6/20/08 Autopsy states COD as undetermined. Report states no injuries or disease; all tests neg; history of co-sleeping w/adult. Found supine & unresponsive in bed w/parent w/numerous pillows arranged to keep patient from rolling. CPR initiated.


VAERS ID: 313132 (history)  
Form: Version 1.0  
Age: 92.0  
Sex: Female  
Location: New Mexico  
Vaccinated:2007-11-29
Onset:2007-12-14
   Days after vaccination:15
Submitted: 2008-05-21
   Days after onset:158
Entered: 2008-05-23
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Death, Dizziness, Herpes zoster, Myocardial infarction, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Embolic and thrombotic events, arterial (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-01-12
   Days after onset: 29
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: High blood pressure. 6/18/08-records received-PMH: dementia, hypertension. osteoporosis, left hip fracture 11/05.
Allergies:
Diagnostic Lab Data: 6/18/08-records received-Sodium 130, BNP 2460. Troponin 0.04. CXR no acute finidng. Echocardiogram normal. blood culture negative.
CDC Split Type: 200801534

Write-up: This case was received from a consumer in the United Stated on 13 May 2008. A consumer reported that his 92-year-old mother received an injection of Influenza Vaccine (manufacturer and lot number not reported) on 29 November 2007. At the time of vaccination, the subject had high blood pressure. Two days after vaccination, on 01 December 2007, the patient began experiencing dizziness, nausea, and vomiting. She was diagnosed with pneumonia, and admitted to the hospital for 14 days. She later developed shingles on her forehead. She died on 12 January 2008; cause of death on the death certificate was "heart attack" according to the patient''s son. No autopsy was performed. 6/16/08-records received for 12/03/07-presented obtunded and unresponsive. Felt weak and limp, gurgling and wheezing, falling towards left side. Appeared to improved but had sudden listless and fever, delirious and gurgling. ED assessment:CHF exacerbation. Assessment viral versus bacterial community acquired pneumonia. 7/18/08-records received for DOS 12/4-12/7/07-DC DX: Community-acquired pneumonia. Pulmonary edema. Presented to ED less responsive than baseline. PE:rales. 9/24/08-records receivedOD-cardiac arrest. Probable myocardial infarction. Possible aspiration.


VAERS ID: 314113 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Female  
Location: Michigan  
Vaccinated:2008-05-19
Onset:2008-05-29
   Days after vaccination:10
Submitted: 2008-05-29
   Days after onset:0
Entered: 2008-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B156BA / 2 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR U231AB,UF174AA / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C45891 / 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0212X / 2 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-05-29
   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: CLOTRIMAZOLE 1 % EX CREA
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient had immunizations on 5-19-08 and was found in bed on back today. 7/18/2008 Autopsy report received with COD: Sudden Unexplained Infant Death. Report states infant had some chest congestion x 2 days for which no medication used for tx. Infant had been acting normally with no other recent c/o. Infant had fed at 1 am and at 4 am parent noted infant was not breathing.


VAERS ID: 314292 (history)  
Form: Version 1.0  
Age: 1.1  
Sex: Female  
Location: Unknown  
Vaccinated:2008-05-05
Onset:2008-05-11
   Days after vaccination:6
Submitted: 2008-05-29
   Days after onset:18
Entered: 2008-05-30
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C57543 / 4 UN / UN

Administered by: Private       Purchased by: Other
Symptoms: Antimicrobial susceptibility test, Blood culture positive, Brain death, CSF culture positive, Culture urine positive, Death, Intensive care, Pneumococcal bacteraemia, Respiratory failure, Septic shock, Vaccination failure
SMQs:, Anaphylactic reaction (broad), Lack of efficacy/effect (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (narrow), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (broad), Respiratory failure (narrow), Infective pneumonia (broad), Hypokalaemia (broad), Sepsis (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-05-13
   Days after onset: 2
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Concomitant medications were not reported.
Current Illness: Unknown
Preexisting Conditions: The patient had no notable medical history. The child went to daycare. 6/3/08-records received-PMH: Roseola at age 7 months. weight loss.
Allergies:
Diagnostic Lab Data: Antimicrobial susceptibility test (results: unremarkable) was done in May-2008. On 11-May-2008 test results were: culture urine (results: pneumococcal bacteria); CSF culture (results: grew large amount of pneumococcal bacteria in less than eight hours); and blood culture (results: pneumococcal bacteria). 6/3/08-records received-NM brain-no scintigraphic evidence of intracranial flow. CSF milky appearance. Gram stain many gram-positive coccobacilli. Protein 1020. WBC 73 and RBC 103. C-reactive protein 13.9. Hypothermic, hypocalcemia, hypokalemia and hyperglycemia. Metabolic acidosis. EEG: compatible with electrocerebral silence, no evidence of cortical activity. Blood culture positive for gram positive cocci.
CDC Split Type: USWYEH04198908

Write-up: Information regarding PREVNAR was received from a physician regarding a female patient who received the fourth dose on 05-May-2008 at 12 months of age and experienced neurogenic septic shock, neurogenic respiratory failure, brain dead, pneumococcal bacteria in blood, vaccine failure and pneumococcal meningitis at 13 months of age. On 11-May-2008, the patient was admitted to the intensive care unit brain dead and in neurogenic respiratory failure. Laboratory results revealed pneumococcal bacteria in blood and a large amount of pneumococcal bacteria that grew in less than eight hours in CSF culture, which led to the additional diagnosis of pneumococcal meningitis. Serotype testing was not performed. An antimicrobial susceptibility test was unremarkable. The physician felt "like this is a vaccine failure". The patient also developed neurogenic septic shock. Treatment included ROCEPHIN and VANCOMYCIN. On 12-May-2008, the patient died. The cause of death were reported as meningitis pneumococcal, respiratory failure, septic shock, vaccination failure, brain death and pneumococcal sepsis. No additional information was available at the time of this report. 6/3/08-records received for DOS 5/11-5/13/08-Date of Death 5/13/08. Final DX: Meningitis secondary to Streptococcus pneumoniae. Gram-positive coccal bacteremia. Admission neurologic examination consistent with brain death, subsequently confirmed. Brain death confirmed by repeat examination and confirmatory tests through course of hospitalization. Admitted via emergency room previously well child until 3/10/08, warm to touch temperature 101, listless and febrile with temperature as high as 104.4. Vomited. Became limp, feet cold, apneic. CPR initiated at home. Cyanotic. Pupils dilated and nonreactive. GCS 3. Heart rate 170 but not palpable pulses. No spontaneous respirations. Intubation, mechanical ventilation.


VAERS ID: 315005 (history)  
Form: Version 1.0  
Age: 63.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2007-08-02
Onset:2008-05-26
   Days after vaccination:298
Submitted: 2008-06-05
   Days after onset:10
Entered: 2008-06-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH - / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Death, Respiratory arrest
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (broad), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-05-26
   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: COPD,
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Subject in pneumococcal vaccine trial, with severe COPD died of respiratory arrest on the way to the hospital. According to the physician, relationship to treatment is ''None''. We would be happy to forward the Study''s SAE Report Form upon request.


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