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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 15 out of 311

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VAERS ID: 320885 (history)  
Form: Version 1.0  
Age: 0.8  
Sex: Female  
Location: New Mexico  
Vaccinated:2008-07-22
Onset:2008-07-26
   Days after vaccination:4
Submitted: 2008-07-30
   Days after onset:4
Entered: 2008-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C951BA / 3 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C65934 / 3 RL / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-07-26
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol
Current Illness: None
Preexisting Conditions: Former 24 week premie/C-section/5 day intubation
Allergies:
Diagnostic Lab Data: Check with Medical Examiner. Labs and Diagnostics: CBC with increased WBCs. Blood glucose and K+ were high upon arrival in ED
CDC Split Type:

Write-up: Pt deceased on 07/26/08. Currently case remains open at Medical Examiners office. Pt had no positive signs of illness at time of exam, normal PE. 10/20/2008 Autopsy received. COD Sudden Infant Death Syndrome. Infant found by parent cold and unresponsive. Resuscitation efforts were unsuccessful. No significant anatomic, circumstantial or toxicologic findings on Autopsy.


VAERS ID: 321130 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Texas  
Vaccinated:2008-07-22
Onset:2008-07-24
   Days after vaccination:2
Submitted: 2008-08-01
   Days after onset:8
Entered: 2008-08-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B153AA / 2 LL / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF263AB / 2 RL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C80884 / 2 LL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1928U / 2 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-07-24
   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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Tox screens were neg.
CDC Split Type:

Write-up: Patient received shots 48 hours prior to death. 9/30/08 Autopsy states COD as sudden unexpected death of an infant. Manner of death undetermined. Report also states patient found unresponsive, face down on comforters, in bed surrounded by pillows.


VAERS ID: 321297 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Male  
Location: Alaska  
Vaccinated:2008-07-24
Onset:2008-07-24
   Days after vaccination:0
Submitted: 2008-07-25
   Days after onset:1
Entered: 2008-08-05
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2572AA / 1 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2864AA / 1 RA / IM

Administered by: Public       Purchased by: Unknown
Symptoms: Completed suicide
SMQs:, Suicide/self-injury (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-07-24
   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: Allergy to erythromycin
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: This young man was seen at the clinic where the itinerant Public Health Nurse administered the 2 injections. Later in the early evening he was found outside hanging by the neck - apparent suicide. 2/4/09-Medical Examiner report: COD Hanging.


VAERS ID: 321634 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Washington  
Vaccinated:2008-06-20
Onset:2008-07-27
   Days after vaccination:37
Submitted: 2008-08-08
   Days after onset:12
Entered: 2008-08-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B148AA / 1 LL / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF259AA / 1 LL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C65934 / 1 RL / UN

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-07-27
   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: amoxicillin Rx started 7/18
Current Illness: Under tx for (R) OM/URI Sx 7/18
Preexisting Conditions: known in utero cocaine exposure
Allergies:
Diagnostic Lab Data: pending autopsy
CDC Split Type:

Write-up: Unexpected death at 4 1/2 months age (current coroner''s case Medical Examiner''s Office). 9/26 Autopsy report states COD as undetermined in infant w/cocaine in bloodstream. Manner of death is undetermined. Report also states: metabolic screening (-); cardiomegaly; hepato/splenomegaly. Patient placed on back & found face down in adult size bed. Born precipitously at home & admitted to hospital 16 days prior to death. Mother tested (+) for cocaine during pregnancy & hair testing of infant at birth (+) for cocaine. Dx w/Influeza A 5/08 & right OM 7/08. Tox screen at autopsy (+) for cocaine. Was not breast fed.


VAERS ID: 321696 (history)  
Form: Version 1.0  
Age: 16.0  
Sex: Female  
Location: Missouri  
Vaccinated:2008-03-31
Onset:2008-04-03
   Days after vaccination:3
Submitted: 2008-08-08
   Days after onset:127
Entered: 2008-08-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1487U / 2 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Cardiac arrest, Computerised tomogram, Convulsion, Cough, Death, Dyspnoea, Fall, Headache, Hypotonia, Laboratory test, Loss of consciousness, Respiratory tract congestion, Syncope, Tremor, Upper respiratory tract congestion, X-ray
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Convulsions (narrow), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Respiratory failure (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-04-07
   Days after onset: 4
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: 3/31 ROCEPHIN; 3/31 ZITHROMAX
Current Illness: Sore throat
Preexisting Conditions: Hx of pharyngitis; Bacterial Meningitis at 17 mons
Allergies:
Diagnostic Lab Data: lab work, Cat scans, X-rays
CDC Split Type:

Write-up: To Whom It May Concern: My daughter went to our nurse practitioner at Health Care Center on March 31, 2008 for a sore throat. She complained of her throat for about two days prior. Pt would get pharyngitis and strep about twice a year since she was 13. She received a shot of ROCEPHIN in the office on March 31st as well she was given a prescription for ZITHROMAX (Z-PAK) at the same time. I''m not sure exactly what time her appointment was it was around 11:00 am. that day. She dropped off her prescription at the pharmacy and I picked up on my way home. She took her first dose of ZITHROMAX on the 31st. She stayed home from school the next two days. She slept late both days which is not abnormal for her. In the evenings we played rummy, she was congested and coughing a little. She complained of a headache the next night and I gave her some ibuprofen. On Wednesday April 3rd she went to school, (school gets out at 3:05 p.m.) after school she went to tract practice. Her tract practice was a short one, I know she ran but I''m not sure how much. She stopped at a convenience store on the way home from school and got a Red Bull. She went home and changed clothes for work. She called me between 4:30 and 5:00 p.m. on her way to work to tell me about the road being blocked due to rain where we live. She parked her car and was walking the short distance into where she works she collapsed and started seizing. A lady in the drive through told the owner that she had fallen and he went out immediately. He said she was shaking, the employees inside called 911 and then me. The owner told me she stopped shaking and took a few strained breaths and then went limp. The police officer arrive within three minutes, he was a first responder. He did not check for a pulse or attempt CPR (I am in the process of getting a police report as well). Just as I got there an off duty paramedic arrived and started CPR. It took quite awhile before the ambulance arrived; she had been down too long. I later learned that they did not get her heart started until just before the ambulance arrived at the hospital. Pt officially died on April 7th, the decision was made on April 6th that she become an organ donor. My daughter was a very healthy, vibrant, and beautiful person! Any other information you need I will do my best to provide. I STILL have not received the autopsy report. I did talk to them Friday and they said it would be within the next two weeks. Sincerely, pt''s mother 9/19/08 Autopsy report states COD as apparent cardiac rhythm disturbance of undetermined etiology. Report states pathologic findings of: hx of sudden fall & cardiac arrest; subgaleal hemorrhage, fontoparietal scalp; tongue abrasions c/w tooth marks; hx of recent illness; agonal seizures; bilateral cerebral edema; catecholamine induced myotoxicity; bilatreral lobar pneumonia; organ & tissue harvesting.


VAERS ID: 323339 (history)  
Form: Version 1.0  
Age: 16.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2008-05-30
Onset:2008-05-31
   Days after vaccination:1
Submitted: 2008-08-26
   Days after onset:87
Entered: 2008-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2620AA / 1 UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Autopsy, Blood test, Decreased appetite, Fatigue, Laboratory test, Pyrexia, Sudden death
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-06-22
   Days after onset: 22
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: We did not notice any obvious illness on 5/30/2008 until next day we found patient had fever
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: autopsy, and lab test for tissue of heart and blood, but no results 9/2/08-records received-Histology report no significant pathology. Tox panel negative.
CDC Split Type:

Write-up: Patient had Minengitis vaccine on 5/30/2008 to meet the requirement of joining a tour this summer. He had fever for two days. On 6/1 his fever was above 100. The next few days temperature had been reduced, but he looked very tired all the time. His appetite also reduced tremendously. On the morning of 6/22/08 he suddenly and unexpectedly passed away during his sleep. Medical Examiner could not find any cause of the death so far. 9/2/08-cardiac arrhythmia of undetermined etiology.


VAERS ID: 323433 (history)  
Form: Version 1.0  
Age: 0.1  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2008-08-14
Onset:2008-08-15
   Days after vaccination:1
Submitted: 2008-08-25
   Days after onset:10
Entered: 2008-08-27
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1884U / 2 LL / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-08-16
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: PPHN at birth requiring prolonged NICU stay & high level support
Allergies:
Diagnostic Lab Data: autopsy/coroners case pending 9/22/08-records received-WBC 19,700. CT scan revealed diffuse loss of gray-white differentiation consistent with cerebral edema. Global hypox ischemic injury resulting in cerebral edema.
CDC Split Type:

Write-up: Unexplained death at age 6 weeks about 24 hrs after Hepatitis B #2 dose. Autopsy pending. 9/22/08-records receivd for DOS 8/15-/16/08-transferred after cardiopulmonary arrest and severe hypoxic-ischemic encephalopathy. Found unreponsive and pulseless on couch following nap. Received unresponsive with fixed and dilated pupils, hypothermic core temperature 32.6 rectally. Coarse bilateral breath sounds. Intubated, mechanical ventilation. 1/12/09-Autopsy report received-COD Asphyxia. Undetermined cause.


VAERS ID: 323493 (history)  
Form: Version 1.0  
Age: 75.0  
Sex: Unknown  
Location: California  
Vaccinated:2008-04-09
Onset:2008-07-10
   Days after vaccination:92
Submitted: 2008-08-27
   Days after onset:48
Entered: 2008-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH - / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Blood cholesterol increased, Death, Myocardial infarction
SMQs:, Dyslipidaemia (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow), Lipodystrophy (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-07-10
   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: COPD
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Subject in pneumococcal vaccine trial, with severe COPD, died on 7/10/2008 in home due to myocardial infarction and high cholesterol. Vaccination took place on 4/9/07. According to the physician, the relationship to treatment is ''None". We would be happy to forward the Study''s SAE Report Form upon request.


VAERS ID: 323510 (history)  
Form: Version 1.0  
Age: 0.6  
Sex: Female  
Location: Oklahoma  
Vaccinated:2008-08-25
Onset:2008-08-26
   Days after vaccination:1
Submitted: 2008-08-27
   Days after onset:1
Entered: 2008-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B143AA / 3 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF439AA / 3 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C86142 / 3 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0302X / 3 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-08-26
   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: RUNNY NOSE, PARENT DENIED FEVER OR ACUTE ILLNESS
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: PATIENT DIED 10/27/08-autopsy report received-COD undetermined. No injuries or natural causes identified. Toxicology, histology, culture, electrolyte, renal and metabolic screens non-contributory. History of co-sleeping with adult. Evidence of resuscitation attempt. krk


VAERS ID: 323512 (history)  
Form: Version 1.0  
Age:   
Sex: Male  
Location: California  
Vaccinated:2008-08-21
Onset:2008-08-22
   Days after vaccination:1
Submitted: 2008-08-27
   Days after onset:5
Entered: 2008-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1884U / 1 RA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Cyanosis, Heart rate decreased, Hypotonia, Oral intake reduced, Pallor, Resuscitation, Unresponsive to stimuli
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (narrow), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-08-22
   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: 8/17/2008: Discharged from NICU stable; discharged home with diagnosis of: o Transient tachypnea of the newborn resolved o Sepsis left pneumothorax, resolved o Anemia at birth
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: 8/22/2008: 17:17 Mother brought baby to Urgent Care with complaints of baby not feeding for 5 hours, baby pale and limp. During triage it was noted that baby was limp, dusky blue and non-responsive. o 1720PM: Oxygen applied - Heart rate 87 o 1721PM: 911 was called o 1723PM: Heart rate deteriorated and CPR was initiated o 1728PM: 911 transport arrived o 1736PM: Baby transferred to gurney and CPR continued during transfer o 1737PM: Paramedics en route to hospital 12/1/08-autopsy report received-COD Sudden infant death associated with acute gastrointestinal illness of unknown etiology. History of vomiting x 2 days unable to keep feeds down. Abdundant loose stoll within small bowel.


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