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Found 1,745 cases where Vaccine targets Influenza (FLU(H1N1) or FLU3 or FLU4 or FLUC3 or FLUC4 or FLUN(H1N1) or FLUN3 or FLUN4 or FLUR3 or FLUR4 or FLUX or FLUX(H1N1) or H5N1) and Patient Died

Case Details

This is page 13 out of 175

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VAERS ID: 68571 (history)  
Form: Version 1.0  
Age: 66.0  
Sex: Female  
Location: New Jersey  
Vaccinated:1994-11-04
Onset:1994-11-04
   Days after vaccination:0
Submitted: 1994-11-10
   Days after onset:6
Entered: 1994-11-18
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4948032 / UNK - / -

Administered by: Private       Purchased by: Private
Symptoms: Cardiac arrest, Coma, Ventricular fibrillation
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant 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), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Respiratory failure (broad), Hypoglycaemia (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt recvd vax; cardiac arrest w/ VF several hrs later; in hosp pt unconscious;


VAERS ID: 68944 (history)  
Form: Version 1.0  
Age: 76.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:1994-11-16
Onset:1994-11-17
   Days after vaccination:1
Submitted: 1994-11-21
   Days after onset:4
Entered: 1994-11-25
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 4F51010 / UNK - / IM A

Administered by: Private       Purchased by: Private
Symptoms: Shock, Ventricular fibrillation
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Ventricular tachyarrhythmias (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Hypovolaemic shock conditions (narrow), Toxic-septic shock conditions (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypoglycaemic and neurogenic shock conditions (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1994-11-17
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Coumadin; Maxzide
Current Illness: NONE
Preexisting Conditions: NKDA; DMII, CHF, hypertension, Hypertriglyceridonic
Allergies:
Diagnostic Lab Data: rhythm strip-Vf
CDC Split Type:

Write-up: pt collapsed in kitchen-ambulance arrived pt in vent fib-coded-died; flu vax given 16NOV & pt died 17NOV;


VAERS ID: 69159 (history)  
Form: Version 1.0  
Age: 85.0  
Sex: Female  
Location: North Carolina  
Vaccinated:1994-10-31
Onset:1994-10-31
   Days after vaccination:0
Submitted: 1994-11-23
   Days after onset:23
Entered: 1994-12-01
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 4F51129 / 2 LA / -

Administered by: Other       Purchased by: Public
Symptoms: Hypernatraemia, Hyperventilation, Hypotension, Hypothermia, Infection, Pneumonia, Pyrexia, Tachycardia
SMQs:, Anaphylactic reaction (narrow), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Accidents and injuries (broad), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Dehydration (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1994-11-09
   Days after onset: 9
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: pt exp flu-like s/s @ 77yrs w/flu #1~ ()~~~In patient
Other Medications: Lanoxin, Calan, nitropatch; Haldol; Zantac
Current Illness: NONE
Preexisting Conditions: hx of CVA, organic brain synd, UTI, hypertension, UGI bleed, CAD, allergies Tetrapline, PCN, Prunes, coffee, cream, jello
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt recvd vax 31OCT94 1030AM & 1PM devel cold, clammy skin w/t97.2 ax; 2PM t103.3 R; 250PM T102.6R; Epi given-to ER dx febrile illness-poss viral synd, hypernatremia/chloremia, d/c ed on 1NOV; died 9NOV94;


VAERS ID: 69183 (history)  
Form: Version 1.0  
Age: 79.0  
Sex: Male  
Location: Florida  
Vaccinated:1994-11-14
Onset:1994-11-14
   Days after vaccination:0
Submitted: 1994-11-15
   Days after onset:1
Entered: 1994-12-02
   Days after submission:17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00774P / 3 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Muscle twitching
SMQs:, Dyskinesia (broad), Dystonia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1994-11-14
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: capoten, ativan, nitrodur patch, micro K; reg ASA; bumex; nitrostat;
Current Illness: none;
Preexisting Conditions: calan sr, severe cardiomyopathy;
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt came to ofc for lab work;wife requested he have flu vax;given in am, approx 15 min after leaving,wife called from hosp er,stated after getting into car pt Lt arm began twitching & head fell over to side;


VAERS ID: 69733 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Male  
Location: Ohio  
Vaccinated:1994-12-12
Onset:1994-12-12
   Days after vaccination:0
Submitted: 1994-12-16
   Days after onset:4
Entered: 1994-12-22
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 4L51146 / UNK - / -
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 4F51023 / UNK - / IM
HIBV: HIB (ACTHIB) / CONNAUGHT LABORATORIES 4B61023 / 3 - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 3 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Apnoea
SMQs:, Acute central respiratory depression (narrow), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1994-12-12
   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: Lasix, Digoxin, Ferinsol
Current Illness: rt hypoplastic ventricle
Preexisting Conditions: congenital heart defect; scheduled for surgery in JAN95
Allergies:
Diagnostic Lab Data:
CDC Split Type: CO5748

Write-up: found not breathing by grandmother; taken to ER & revived; airlifted to hosp expired 12DEC94;


VAERS ID: 69952 (history)  
Form: Version 1.0  
Age: 80.0  
Sex: Male  
Location: Alabama  
Vaccinated:1994-12-15
Onset:1994-12-15
   Days after vaccination:0
Submitted: 1994-12-21
   Days after onset:6
Entered: 1994-12-28
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 00374P / UNK RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1994-12-15
   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: AL9445

Write-up: pt recvd vax; found dead by his wife approx 2 hrs p/ vax;


VAERS ID: 70240 (history)  
Form: Version 1.0  
Age: 64.0  
Sex: Female  
Location: California  
Vaccinated:1994-11-10
Onset:1994-11-17
   Days after vaccination:7
Submitted: 1994-12-15
   Days after onset:28
Entered: 1995-01-09
   Days after submission:25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 4F51025 / UNK - / IM A

Administered by: Public       Purchased by: Public
Symptoms: Arteriosclerosis, Influenza, Myocardial infarction, Nausea, Pericardial effusion, Vomiting
SMQs:, Acute pancreatitis (broad), Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1994-12-04
   Days after onset: 17
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: unk~ ()~~~In patient
Other Medications: unk
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: CA94160

Write-up: pt recvd vax;began to exp n & v along w/ sxs of the flu;sxs cont until death;pt did not seek med help;cause of death cardiac tamponade due to ruptured myocardial infarction & coronary atherosclerosis;


VAERS ID: 70705 (history)  
Form: Version 1.0  
Age: 46.0  
Sex: Female  
Location: Indiana  
Vaccinated:1994-11-04
Onset:1994-11-04
   Days after vaccination:0
Submitted: 1995-01-18
   Days after onset:75
Entered: 1995-01-23
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 4F51165 / 2 RA / IM

Administered by: Other       Purchased by: Other
Symptoms: Apnoea, Convulsion, Headache, Intracranial aneurysm, Malaise, Subarachnoid haemorrhage, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Haemorrhagic central nervous system vascular conditions (narrow), Convulsions (narrow), Acute central respiratory depression (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Respiratory failure (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1994-11-17
   Days after onset: 13
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: heart condition not requiring medication
Allergies:
Diagnostic Lab Data:
CDC Split Type: CO5678

Write-up: h/a; severe enough that needed to lie down in the evening of 7NOV994; also had general malaise; c/o h/a started the same day of vax 4NOV94; 10NOV94 pt exp sz, then passed out; sx ruptured cerebral aneurysm; pt had surgery 11NOV94 & died;


VAERS ID: 71272 (history)  
Form: Version 1.0  
Age: 57.0  
Sex: Male  
Location: Colorado  
Vaccinated:1994-10-19
Onset:1994-10-19
   Days after vaccination:0
Submitted: 1994-12-05
   Days after onset:47
Entered: 1995-02-03
   Days after submission:60
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS 01764P / 1 - / A

Administered by: Other       Purchased by: Other
Symptoms: Blood creatinine increased, Blood fibrinogen decreased, Blood urea increased, Coagulopathy, Hypotension, Infection, Leukocytosis, Sepsis
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Liver-related coagulation and bleeding disturbances (narrow), Anaphylactic reaction (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Chronic kidney disease (broad), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Hypokalaemia (broad), Sepsis (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1994-10-26
   Days after onset: 7
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: Feeling slightly ill;
Preexisting Conditions: No spleen; hx of asthma, hx of positive HIV test; hypertension; gout;
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt recvd vax in the AM & reportedly devel fever that evening; was admitted to hosp during the next week & died exactly 1 wk from the vax date reportedly of a bacterial infect in blood;


VAERS ID: 72312 (history)  
Form: Version 1.0  
Age: 90.0  
Sex: Female  
Location: Florida  
Vaccinated:1994-11-05
Onset:1994-11-15
   Days after vaccination:10
Submitted: 1994-11-30
   Days after onset:15
Entered: 1995-02-07
   Days after submission:69
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4948142 / UNK LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Cough, Pharyngitis, Pyrexia, Rhinitis
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1994-11-15
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions: Alzheimer''s disease;
Allergies:
Diagnostic Lab Data: lot# 4948142 was reviewed & found to be satisfactory;
CDC Split Type: 894343010S

Write-up: pt recvd vax & devel upper-resp symptoms with congestion, elevated temp, & cough; pt went on to be treated w/ATB;


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