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From the 10/15/2021 release of VAERS data:

Found 2,931 cases where Patient Died and Vaccination Date from '2010-01-01' to '2020-12-31'



Case Details

This is page 14 out of 294

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VAERS ID: 421094 (history)  
Form: Version 1.0  
Age: 0.19  
Sex: Female  
Location: New Hampshire  
Vaccinated:2011-02-01
Onset:2011-03-03
   Days after vaccination:30
Submitted: 2011-03-03
   Days after onset:0
Entered: 2011-04-15
   Days after submission:42
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3613AA / 1 LL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB977AA / 2 RL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 915192 / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0948Z / 1 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-03-03
   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: Acyclovir at birth 25 mg IV Q 6 Hrs.
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: NH04151101

Write-up: Mother had + HSV, gestational diabetes and protein S deficiency.


VAERS ID: 421096 (history)  
Form: Version 1.0  
Age: 0.17  
Sex: Male  
Location: North Carolina  
Vaccinated:2011-04-07
Onset:2011-04-08
   Days after vaccination:1
Submitted: 2011-04-11
   Days after onset:3
Entered: 2011-04-15
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3872AB / 1 LL / UN
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1520Z / 2 LL / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E63641 / 1 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1135Z / 1 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-04-10
   Days after onset: 2
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: TRI-VI-SOL; SIMPLY THICK; SYNAGIS
Current Illness: None
Preexisting Conditions: Prematurity, 31 weeks
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: None stated.


VAERS ID: 421334 (history)  
Form: Version 1.0  
Age: 0.82  
Sex: Male  
Location: New Hampshire  
Vaccinated:2010-12-09
Onset:2011-01-27
   Days after vaccination:49
Submitted: 2011-04-19
   Days after onset:81
Entered: 2011-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3732AA / 3 UN / UN
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT3645AA / 2 UN / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E80083 / 3 UN / UN

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-01-27
   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: 04192011

Write-up: None stated.


VAERS ID: 421495 (history)  
Form: Version 1.0  
Age: 0.1  
Sex: Male  
Location: New Hampshire  
Vaccinated:2010-10-14
Onset:2010-11-01
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2011-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1483Y / 2 RL / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-11-01
   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: NH04201103

Write-up: 10-14-10 Merck 1483Y.


VAERS ID: 421582 (history)  
Form: Version 1.0  
Age: 17.0  
Sex: Male  
Location: Unknown  
Vaccinated:2010-11-01
Onset:2010-11-01
   Days after vaccination:0
Submitted: 2011-04-21
   Days after onset:171
Entered: 2011-04-22
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Death, Sudden cardiac death
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Cardiomyopathy (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1104USA02226

Write-up: Information has been received from a nurse practitioner concerning a patient''s nephew, a 17 year old male consumer who she "thought" was vaccinated with a dose of GARDASIL (lot number not provided) in November 2010. The nurse practitioner stated that two weeks after the patient received the dose of GARDASIL, approximately November 2010 (also reported as "two weeks ago" on approximately 01-APR-2011), the patient died of sudden cardiac death on the lacrosse field. Unspecified medical treatment was given. It was unspecified if any lab diagnostic test were performed. The cause of death was sudden cardiac death. Sudden cardiac death was considered to be immediately life-threatening and disabling by the reporting nurse practitioner. Additional information has been requested.


VAERS ID: 422085 (history)  
Form: Version 1.0  
Age: 0.16  
Sex: Female  
Location: Arizona  
Vaccinated:2011-04-22
Onset:2011-04-24
   Days after vaccination:2
Submitted: 2011-04-29
   Days after onset:5
Entered: 2011-05-02
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3740AA / 1 RL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB960DB / 2 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E80081 / 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1477Z / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Chest X-ray abnormal, Death, Lung disorder
SMQs:, Cardiomyopathy (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-04-24
   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: D-VI-SOL 400 u/mL liquid
Current Illness: None known
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Chest x-ray showed diffuse, hazy, bilateral granular opacities throughout both lungs, worse on the right.
CDC Split Type:

Write-up: Death.


VAERS ID: 422268 (history)  
Form: Version 1.0  
Age: 0.82  
Sex: Male  
Location: Texas  
Vaccinated:2011-02-17
Onset:2011-02-18
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2011-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS AC20B172AA / 4 UN / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 915192 / 4 UN / UN

Administered by: Private       Purchased by: Private
Symptoms: Crying, Death, Decreased appetite, Infantile spitting up, Pyrexia, Somnolence
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (broad), Neonatal disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-02-23
   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: Ear infection
Preexisting Conditions: Immunology problems undiagnosed
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: He was administered the shot and by the next day started having fevers & spitting up his food. His fever got worse and his appetite also. He was sleeping & crying for the most part and his fever was being stabilized by MOTRIN and TYLENOL.


VAERS ID: 422585 (history)  
Form: Version 1.0  
Age: 0.17  
Sex: Female  
Location: Texas  
Vaccinated:2011-05-09
Onset:2011-05-10
   Days after vaccination:1
Submitted: 2011-05-10
   Days after onset:0
Entered: 2011-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3882AA / 1 RL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0230AA / 2 RL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 915371 / 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0259AA / 1 MO / PO

Administered by: Unknown       Purchased by: Private
Symptoms: Death, Epistaxis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-05-10
   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: Fluconazole prescribed for thrush.
Current Illness: Thrush
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Autopsy to be performed.
CDC Split Type:

Write-up: Pt noted to be lifeless on awaking in morning. Epistaxis reported by father.


VAERS ID: 422660 (history)  
Form: Version 1.0  
Age: 69.0  
Sex: Male  
Location: Unknown  
Vaccinated:2010-09-03
Onset:2011-04-18
   Days after vaccination:227
Submitted: 2011-05-10
   Days after onset:22
Entered: 2011-05-11
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Autopsy, Balance disorder, Blood pressure decreased, Botulism, CSF glucose increased, Computerised tomogram head, Computerised tomogram normal, Death, Dizziness, Headache, Intensive care, Lumbar puncture, Muscular weakness, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging spinal cord abnormal, Protein total normal, Quadriparesis, Quadriplegia, Respiratory paralysis, Spinal myelogram
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Vestibular disorders (broad), Respiratory failure (narrow), Dehydration (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-04-21
   Days after onset: 3
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:
Other Medications: Simvastatin
Current Illness: Unknown
Preexisting Conditions: Hyperlipidaemia; Breast cancer
Allergies:
Diagnostic Lab Data: 04/18/2011, Blood pressure dropped, abnormal; 04/18/2011, Computerised tomogram head showed no evidence of acute cranial or intracranial abnormality, normal; 04/18/2011, CSF culture, glucose level was increased, abnormal; 04/18/2011, Nuclear magnetic resonance imaging showed spinal stenosis and multiple levels of degenerative disk with diffuse bulging and osteophyte formation, abnormal.; 04/18/2011, Nuclear magnetic resonance imaging brain revealed moderate microvascular disease, abnormal.
CDC Split Type: PHHO2011US07292

Write-up: Case number PHHO2011US07292, is an initial report received on 26 Apr 2011, from a clinical study. This 70-year-old male subject was enrolled in a study. The subject''s medical history included hyperlipidemia and cancer of left breast. Concomitant medications included Simvastatin. The subject received the study vaccine on 03 Sep 2010 at 13:15. On 18 Apr 2011, the subject was taken to the hospital for evaluation of dizziness and headaches. The same day, the subject experienced botulism and quadriparesis. The subject was unsteady on their feet and was weak in the upper extremities. The subject experienced progressive weakness and quadriplegia. The subject was seen by a neurosurgeon and neurologist. The subject underwent an MRI scan which showed spinal stenosis and multiple levels of degenerative disk with diffuse bulging and osteophyte formation. The investigator stated that per the neurosurgeon, did not cause the quadriparesis. An MRI scan of the brain revealed moderate microvascular disease. A CT scan of the head showed no evidence of acute cranial or intracranial abnormality. The subject was treated with Aspirin and DECADRON and some improvement in status was noted. The subject was placed on ''JV'' for atypical presentation of Guillain-Barre syndrome. The subject was started on Doxycycline. The subject had a CT myelogram, a lumbar puncture and their antibody cultures were collected. The patient''s protein was normal. In the subject''s CSF fluid it was noted that their glucose level was increased (assessed as not clinically significant by the investigator). On 21 Apr 2011, the subject was transferred to ICU and signed a DNR (do not resuscitate). The subject refused to be intubated and refused a N16 and foley catheter placement. The subject''s condition deteriorated with desaturation 100% and blood pressure dropped. The subject was started on a dopamine drip, maximum dose. The subject experienced respiratory muscle paralysis. On 21 Apr 2011, at 03:38am, the subject died. An autopsy was performed, and results are pending. The seriousness for botulism as life threatening and fatal, quadriparesis was disability and respiratory muscle paralysis was fatal. The outcome of the quadriparesis was condition deteriorating. The investigator suspected a relationship between the botulism, quadriparesis and respiratory muscle paralysis and the study vaccine. Follow up received on 04 May 2011: Patient''s sex corrected, lab tests updated, events updated, death details updated, treatments provided, causalities updated.


VAERS ID: 422773 (history)  
Form: Version 1.0  
Age: 0.37  
Sex: Female  
Location: Alabama  
Vaccinated:2011-04-27
Onset:2011-05-03
   Days after vaccination:6
Submitted: 2011-05-12
   Days after onset:9
Entered: 2011-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3800 / 2 UN / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 914972 / 2 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1653Z / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Respiratory arrest, Sudden infant death syndrome, Unresponsive to stimuli
SMQs:, Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Neonatal disorders (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Respiratory failure (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-05-03
   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: No
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: SIDS. Was found not breathing and unresponsive in crib after nap.


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https://medalerts.org/vaersdb/findfield.php?EVENTS=ON&PAGENO=14&DIED=Yes&VAX_YEAR_LOW=2010&VAX_MONTH_LOW=01&VAX_YEAR_HIGH=2020&VAX_MONTH_HIGH=12

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