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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 12 out of 277

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VAERS ID: 416893 (history)  
Form: Version 1.0  
Age: 3.0  
Sex: Female  
Location: Colorado  
Vaccinated:2011-02-02
Onset:2011-02-07
   Days after vaccination:5
Submitted: 2011-02-15
   Days after onset:8
Entered: 2011-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3665AA / 2 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0285Z / 1 RL / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0834Z / 1 RL / SC

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-02-07
   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: denied by parent
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: apparently found dead in bed by parent


VAERS ID: 416930 (history)  
Form: Version 1.0  
Age: 32.0  
Sex: Male  
Location: Delaware  
Vaccinated:2010-11-02
Onset:2010-11-25
   Days after vaccination:23
Submitted: 2011-02-16
   Days after onset:83
Entered: 2011-02-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C3486AA / 1 LA / IM

Administered by: Public       Purchased by: Private
Symptoms: Cardioversion, Convulsion, Death, Hypoxic-ischaemic encephalopathy
SMQs:, Systemic lupus erythematosus (broad), Ischaemic central nervous system vascular conditions (narrow), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-12-04
   Days after onset: 9
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 9 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: seizure resulting in defribrilation resulting in anoxic brain injury. treated at Hospital.


VAERS ID: 417137 (history)  
Form: Version 1.0  
Age: 17.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2011-01-04
Onset:2011-02-02
   Days after vaccination:29
Submitted: 2011-02-08
   Days after onset:6
Entered: 2011-02-18
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0096Z / 2 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U3432AA / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-02-02
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NORINYL
Current Illness: none
Preexisting Conditions: Hay fever; Animal fur
Allergies:
Diagnostic Lab Data:
CDC Split Type: TN1101

Write-up: Patient deceased within 30 days of vaccine administration.


VAERS ID: 417195 (history)  
Form: Version 1.0  
Age: 0.19  
Sex: Female  
Location: Florida  
Vaccinated:2011-02-09
Onset:2011-02-10
   Days after vaccination:1
Submitted: 2011-02-18
   Days after onset:8
Entered: 2011-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3771AA/C3613AA / 1 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 914515 / 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0525Z / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Apnoea, Death, Hypoxia, Resuscitation
SMQs:, Asthma/bronchospasm (broad), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Eosinophilic pneumonia (broad), Respiratory failure (narrow), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-02-16
   Days after onset: 6
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Synagis given on 1/17/2011
Current Illness: No
Preexisting Conditions: History of prematurity
Allergies:
Diagnostic Lab Data: Please refer to hospital records.
CDC Split Type:

Write-up: Baby was found apneic in bed with parents. She was resuscitated, but died of complications of hypoxia.


VAERS ID: 417551 (history)  
Form: Version 1.0  
Age: 89.0  
Sex: Female  
Location: California  
Vaccinated:2011-02-17
Onset:2011-02-19
   Days after vaccination:2
Submitted: 2011-02-24
   Days after onset:5
Entered: 2011-02-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR U2591AA / UNK LA / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Asthenia, Dysphagia, Muscle spasms
SMQs:, Anticholinergic syndrome (broad), Dystonia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2011-02-26
   Days after onset: 7
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt. suffered a fall about 2 weeks ago and had abrasion and received tetanus vaccine and about 48 hours post vaccination she became extremely weak with dysphagia and increased muscle spasm.


VAERS ID: 417625 (history)  
Form: Version 1.0  
Age: 19.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2010-12-03
Onset:2011-02-04
   Days after vaccination:63
Submitted: 2011-02-25
   Days after onset:21
Entered: 2011-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPAB: HEP A + HEP B (TWINRIX) / GLAXOSMITHKLINE BIOLOGICALS AHABB207AC / 3 UN / -
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER E0204 / UNK UN / -
YF: YELLOW FEVER (YF-VAX) / SANOFI PASTEUR U786AA / UNK UN / -

Administered by: Military       Purchased by: Military
Symptoms: CSF test abnormal, Death, Meningococcal infection, Neisseria test positive
SMQs:, Guillain-Barre syndrome (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-02-05
   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: Menactra Made by Sanofi Pasteur. Pt started antibiotics after vaccination but before death.
Current Illness: All recruits screened by Recruit Medical Readiness (RMR) staff. No evidence of illness during screening.
Preexisting Conditions: No known illness.
Allergies:
Diagnostic Lab Data: CSF tested by SC medical centers resulted as N. meningitidis. Serotype Y.
CDC Split Type:

Write-up: No known adverse event at tim eof the vaccination. Pt died on 02/05/2011.


VAERS ID: 417899 (history)  
Form: Version 1.0  
Age: 0.34  
Sex: Male  
Location: D.C.  
Vaccinated:2011-02-23
Onset:2011-02-24
   Days after vaccination:1
Submitted: 2011-03-02
   Days after onset:6
Entered: 2011-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3815AA / 2 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 915704 / 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1269Z / 1 MO / PO

Administered by: Other       Purchased by: Public
Symptoms: Apnoeic attack, Condition aggravated, Death, Endotracheal intubation, Hypopnoea, Pulse absent, Respiratory rate decreased, Resuscitation, Vomiting
SMQs:, Acute pancreatitis (broad), Angioedema (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-02-24
   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: ZANTAC; POLY-VI-SOL
Current Illness: none
Preexisting Conditions: Prematurity (25 wks); GERD; apnea; BPD; ichthyosis; pulm valve stenosis
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Threw up after a feed, then apnea monitor kept alarming. To ED - found to have slow, shallow respirations. Became apneic/pulseless - unable to resuscitate despite intubation/CPR. Time of death 4:31 PM.


VAERS ID: 418006 (history)  
Form: Version 1.0  
Age: 68.0  
Sex: Male  
Location: Idaho  
Vaccinated:2010-11-30
Onset:2010-11-30
   Days after vaccination:0
Submitted: 2011-03-01
   Days after onset:91
Entered: 2011-03-04
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT3773BA / 4 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-11-30
   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 at present time
Preexisting Conditions: COPD; Reflux; HTN; Gout; Allergy to salmon
Allergies:
Diagnostic Lab Data:
CDC Split Type: ID11003

Write-up: Pt. came into clinic for annual flu shot. Was non-ill appearing. Wife received same flu shot at the same time with no adverse rxn. Pt. then went home and later passed away in house (residence).


VAERS ID: 418081 (history)  
Form: Version 1.0  
Age: 50.0  
Sex: Female  
Location: Unknown  
Vaccinated:2010-10-01
Onset:2010-10-01
   Days after vaccination:0
Submitted: 2011-03-04
   Days after onset:154
Entered: 2011-03-07
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Death, Haematoma
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2010-10-01
   Days after onset: 0
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: COUMADIN
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1102USA03152

Write-up: Information has been received from a doctor of pharmacy concerning a female patient in her 50''s, who in October 2010, was vaccinated with a 0.65 ml dose of ZOSTAVAX (Merck) (Lot # not reported). Concomitant therapy included COUMADIN. The pharmacist reported that the patient received a shot of the ZOSTAVAX (Merck) and then was rushed to the hospital with a hematoma. After being admitted to the hospital the patient passed away, in October 2010, "a week after her shot". The pharmacist was not sure if it was due to the ZOSTAVAX (Merck) or not, and she was also not sure of the length of time between the patient getting the ZOSTAVAX (Merck) and being to the hospital. The pharmacist considered that the hematoma and that the patient "passed away" to be life threatening. Additional information has been requested.


VAERS ID: 418246 (history)  
Form: Version 1.0  
Age: 0.17  
Sex: Male  
Location: Massachusetts  
Vaccinated:2011-01-19
Onset:2011-02-28
   Days after vaccination:40
Submitted: 2011-03-03
   Days after onset:3
Entered: 2011-03-09
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3756AA / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0319Z / 1 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 914514 / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0912Z / 1 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: 2011-02-28
   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: NUTRAMIGEN Lipid with ENFLORA LGG
Current Illness: None
Preexisting Conditions: Allergy to milk products; Esophageal Reflux
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Infant was immunized 1/19/11 DTaP, Hib, IPV, HepB, PCV13, Rotavirus. Infant died ? SIDS.


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