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Found 1,814 cases where Vaccine targets Influenza (FLU(H1N1) or FLU3 or FLU4 or FLUA3 or FLUC3 or FLUC4 or FLUN(H1N1) or FLUN3 or FLUN4 or FLUR3 or FLUR4 or FLUX or FLUX(H1N1) or H5N1 or FLUA4) and Patient Died

Case Details

This is page 15 out of 182

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VAERS ID: 78518 (history)  
Form: Version 1.0  
Age: 79.0  
Sex: Female  
Location: Minnesota  
Vaccinated:0000-00-00
Onset:1995-10-19
Submitted: 1995-10-27
   Days after onset:8
Entered: 1995-10-31
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958112 / UNK LA / IM

Administered by: Other       Purchased by: Public
Symptoms: Myocardial infarction
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: IHSS, Bipolar disorder, Dementia
Preexisting Conditions: IHSS, Bipolar disorder, Dementia
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: death (pt was found dead in the bathroom by husband, prev to this no complaints) no tx; no evaluation post mortem, data gather from conversation w/husband


VAERS ID: 78870 (history)  
Form: Version 1.0  
Age: 70.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:1995-09-24
Onset:1995-09-24
   Days after vaccination:0
Submitted: 1995-11-04
   Days after onset:41
Entered: 1995-11-13
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. E2835HA / 1 - / IM

Administered by: Other       Purchased by: Private
Symptoms: Sepsis
SMQs:, Sepsis (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1995-09-25
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt admitted w/sepsis synd 24 hrs pos vax cultures neg;pt expired;no autopsy;acute sepsis synd poss d/t vax


VAERS ID: 79260 (history)  
Form: Version 1.0  
Age: 75.0  
Sex: Male  
Location: Florida  
Vaccinated:1995-10-16
Onset:1995-10-17
   Days after vaccination:1
Submitted: 1995-10-18
   Days after onset:1
Entered: 1995-11-20
   Days after submission:33
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 5F61148 / 1 LA / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 390968 / 1 RA / -

Administered by: Public       Purchased by: Public
Symptoms: Cardiovascular disorder, Convulsion, Insomnia, Pain
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1995-10-17
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: died @ heart of Florida hosp
CDC Split Type: FL95079

Write-up: heart attack, ate dinner, rode bike on 16OCT95 p/vax; aching & diff sleeping noc of 16OCT95;sz on 17OCT95 to ER per ambulance


VAERS ID: 79660 (history)  
Form: Version 1.0  
Age: 61.0  
Sex: Male  
Location: New York  
Vaccinated:1995-10-26
Onset:1995-10-27
   Days after vaccination:1
Submitted: 1995-11-09
   Days after onset:13
Entered: 1995-11-27
   Days after submission:18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / 2 - / IM

Administered by: Private       Purchased by: Private
Symptoms: Aspartate aminotransferase increased, Blood lactate dehydrogenase increased, Coma, Hepatic failure, Hepatic steatosis, Hyperglycaemia, Laboratory test abnormal, Right ventricular failure
SMQs:, Cardiac failure (narrow), Liver related investigations, signs and symptoms (narrow), Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Pulmonary hypertension (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1995-11-02
   Days after onset: 6
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: NONE~ ()~~~In patient
Other Medications: Insulin, Accupril, APAP
Current Illness: none other than hypertension & diabetes
Preexisting Conditions: HTN, IDDM
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt recvd vax 26OCT95;fever 102 27OCT followed by abd pain, vomiting, sweating;28OCT hosp ER T102;adm for hydration; BX 305; progressive liver failure, SGOT 544, LDH 5099; congestive heart failure, coma;autopsy massive faulty degen of liver


VAERS ID: 79863 (history)  
Form: Version 1.0  
Age: 70.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:1995-09-24
Onset:1995-09-25
   Days after vaccination:1
Submitted: 1995-12-01
   Days after onset:67
Entered: 1995-12-05
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. E2835HA / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Malaise, Sepsis
SMQs:, Sepsis (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1995-09-25
   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: ~ ()~~~In patient
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: ALI95493

Write-up: pt recvd flu vax & was observed x 30mins then sent home;@ the time of vax pt denied allergies;later that noc felt distressed & went to the ER dx sepsis was made;reporter states pt died that day p/being seen in ER;


VAERS ID: 80174 (history)  
Form: Version 1.0  
Age: 73.0  
Sex: Female  
Location: Illinois  
Vaccinated:1995-10-11
Onset:1995-10-15
   Days after vaccination:4
Submitted: 1995-12-18
   Days after onset:64
Entered: 1995-12-20
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 5F61099 / 2 - / -

Administered by: Private       Purchased by: Private
Symptoms: Apnoea, Pneumonia
SMQs:, Acute central respiratory depression (narrow), Eosinophilic pneumonia (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1995-10-31
   Days after onset: 16
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: pneumonia 1 wk p/ 1994 flu vax;~ ()~~~In patient
Other Medications: numerous
Current Illness:
Preexisting Conditions: 5 yr hx of fibrotic lung disease,arteriosclrosis w/ renal angioplasy,carotid enarterectomy,stroke;living w/ husband as care giver;
Allergies:
Diagnostic Lab Data:
CDC Split Type: CO6416

Write-up: pt recvd vax; devel pneumonia & was hosp on ventilator assistance;died 31oct95;no autopsy performed;COD pneumonia & resp arrest;


VAERS ID: 80766 (history)  
Form: Version 1.0  
Age:   
Sex: Unknown  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1996-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. E2715HA / UNK - / -

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

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt recvd vax; supposed death;


VAERS ID: 80847 (history)  
Form: Version 1.0  
Age: 85.0  
Sex: Male  
Location: Kansas  
Vaccinated:1995-11-01
Onset:1995-11-01
   Days after vaccination:0
Submitted: 1995-11-01
   Days after onset:0
Entered: 1996-01-16
   Days after submission:76
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 5F61162 / UNK LA / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asthma, Pyrexia, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Asthma/bronchospasm (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1995-11-10
   Days after onset: 9
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: none
Preexisting Conditions: pcn, demedrol, codeine,tape, beesting
Allergies:
Diagnostic Lab Data:
CDC Split Type: KS95057

Write-up: pt recvd vax;T 100; wheezing 3nov95; emesis; apap given; to er;


VAERS ID: 81461 (history)  
Form: Version 1.0  
Age: 74.0  
Sex: Female  
Location: Connecticut  
Vaccinated:1995-11-16
Onset:1995-11-19
   Days after vaccination:3
Submitted: 1996-01-16
   Days after onset:58
Entered: 1996-01-30
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / UNK - / IM

Administered by: Private       Purchased by: Private
Symptoms: Asthenia, Mouth ulceration
SMQs:, Severe cutaneous adverse reactions (broad), Systemic lupus erythematosus (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1995-11-20
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: urinary tract infect
Preexisting Conditions: pt may have been taking Macrodantin for a urinary tract infect @ the time of death
Allergies:
Diagnostic Lab Data:
CDC Split Type: 896017020L

Write-up: pt recvd vax 16NOV95;19NOV95 noted general weakness & canker sore in mouth;notified MD but declined to go to office because of weakness;next day husband found pt dead;


VAERS ID: 82670 (history)  
Form: Version 1.0  
Age: 60.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:1995-10-18
Onset:1996-02-07
   Days after vaccination:112
Submitted: 1996-02-12
   Days after onset:5
Entered: 1996-02-16
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 5F61134 / UNK LA / IM

Administered by: Private       Purchased by: Public
Symptoms: Apnoea, Asthenia, Guillain-Barre syndrome, Malaise, Paraesthesia, Rhinitis
SMQs:, Peripheral neuropathy (narrow), Acute central respiratory depression (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Respiratory failure (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
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: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 3FEB96 rhinitis x 3 days;7FEB96 numbness in hands & feet;seen in ER inc numbness & fatigue,malaise-presently dx w/GBS on a ventilator;


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